P Praxis·MD
● Active Type 1 · Individual

MR. Matthew R Boothby

Physician Assistant·Brunswick, GA· NPI 1871828897 · Enumerated 2009 · 16 years on NPI
Boothby is 1 of 2 physician assistant providers in Brunswick and 1 of 640 in Georgia.
NPI age
16 years
Enumerated 2009-10-08
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-05-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 640 active physician assistant providers in Georgia.

NPI age
16 years
↑ 3 yr above median (13 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-10Enumerated in NPPES
2009 2026

Where they practice

Practice location
1111 Glynco Pkwy Ste 300
Brunswick, GA 315257933
📞 9122626552fax 9122626599
Mailing address
1111 Glynco Pkwy Ste 300
Brunswick, GA 315257933
📞 9122626552fax 9122626599

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #005660 taxonomy 363AS0400X

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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