Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gary Bronson Bubba Boggs, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1194219584

Gary Bronson Bubba Boggs, AGACNP is a Nurse Practitioner in McComb, Mississippi. Qualified in 2018, 8 years ago. Practices with Wound Care Associates LLC, a 119-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
8
Licensed in
MS
In the registry since
2018

Practice location Address checks out

215 Marion Ave
McComb, MS 39648-2705
Phone: (601) 249-5500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 971 Lakeland Dr Ste 1052, Jackson, MS 39216-4609 — (601) 981-9503

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 890001 (MS)

Record details

NPI number1194219584
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedJune 19, 2018
Last updated in NPPESSeptember 20, 2022
Certification dateSeptember 20, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Wound Care Associates Llc — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in McComb