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

Mr. Justin Boyd

Individual provider Physician Assistant · NPI 1316736531

Mr. Justin Boyd is a Physician Assistant in Southaven, Mississippi. Qualified in 2025, 1 year ago. Practices with UT Regional One Physicians Inc, a 327-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
1
Licensed in
TN
In the registry since
2025

Practice location Address checks out

3807 Deola Dobbins Rd
Southaven, MS 38672-6015
Phone: (901) 848-3691
Show map & directions

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

Additional practice locations (1)

  • 877 Jefferson Ave, Memphis, TN 38103-2807 — (901) 545-8699

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6866 (TN)

Record details

NPI number1316736531
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 5, 2025
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026
Mailing address3807 Deola Dobbins Rd, Southaven, MS 38672-6015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Ut Regional One Physicians Inc — 327 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Southaven