DANIEL BOONE DO – NPI #1619926433
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

DANIEL BOONE is a physician located in MCCOMB, MS. NPPES has assigned the NPI number 1619926433 to DANIEL BOONE on May 09, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Feb 17, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DANIEL BOONE below.

NPI Profile for
DANIEL BOONE

NPI Number
1619926433
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DANIEL BOONE
Credentials
DO
Primary location
1506 ASTON AVE
MCCOMB, MS 39648-2735
Phone: (601) 249-4415 Fax: (601) 249-4474
2 Other location(s):
200 Marion Ave
McComb, MS 39648-2706
Phone: (601) 250-4381
Fax: (601) 250-4367
1167 E Broad St
Monticello, MS 39654-7682
Phone: (601) 587-1433
Fax: (601) 587-1625
Mailing address
PO BOX 490
MCCOMB, MS 39649-0490
Phone: (601) 250-4366 Fax: (601) 250-4367
Sole Proprietor
No
Updated
Certification Date
Feb 17, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for DANIEL BOONE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMS02956343
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 MS 19021

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE - Graduated 2000
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
DANIEL BOONE is affiliated with the following medical group(s):
  • HOSPITAL
    • KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN
      P O BOX 948/427 HIGHWAY 51 NORTH
      BROOKHAVEN, MS 39601
    • LAWRENCE COUNTY HOSPITAL CAH
      1065 EAST BROAD ST / PO BOX 788
      MONTICELLO, MS 39654
    • SOUTHWEST MS REGIONAL MEDICAL CENTER
      215 MARION AV BOX 1307
      MCCOMB, MS 39649
  • HOME HEALTH AGENCY
    • ST LUKE HOME HEALTH SERVICES
      210 STATE STREET (2ND FLOOR)
      MCCOMB, MS 39648
  • HOSPICE
    • ST LUKE HOME HEALTH AND HOSPICE
      1170 E. BROAD STREET
      MONTICELLO, MS 39654

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.