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

Mr. Justin Luke Boren, PA

Individual provider Physician Assistant · NPI 1053468199

Mr. Justin Luke Boren, PA is a Physician Assistant in Columbia, Tennessee. Qualified in 2005, 21 years ago. Practices with Tennessee Oncology PLLC, a 354-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
21
Licensed in
TN
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

832 Westover Dr Ste 200
Columbia, TN 38401-4843
Phone: (931) 830-3033
Fax: (931) 388-3401
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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 PA1296 (TN)

Record details

NPI number1053468199
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 4, 2007
Last updated in NPPESAugust 15, 2023
Certification dateAugust 15, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Tennessee Oncology Pllc — 354 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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