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

Individual provider Surgical Physician Assistant · NPI 1609639558

Logan Boyer, PHYSICIANASSISTANT is a Physician Assistant in Jackson, Mississippi. Qualified in 2023, 3 years ago. Practices with Central Surgical Associates PLLC, a 27-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
3
Licensed in
MS
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

1190 N State St Ste 502
Jackson, MS 39202-2414
Phone: (601) 944-1781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00787 (MS)
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1609639558
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedFebruary 2, 2024
Last updated in NPPESAugust 21, 2024
Certification dateAugust 21, 2024
Mailing address101 Briars Dr Apt 703, Clinton, MS 39056-6119

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Central Surgical Associates Pllc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Jackson