Gary Boyce III
Peer Specialist in Fairmont, WV. Individual provider (NPI-1).
NPI number1023955754
StatusActive
Last updated in NPPESJun 5, 2026
Details
- NPI
- 1023955754
- Entity type
- Individual (NPI-1)
- Name
- Mr. Gary Boyce III
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 30, 2026
- Certification date
- Jun 5, 2026
- Last updated
- Jun 5, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | WV | Yes |
| 172V00000X | Community Health Worker | – | WV |
Practice location
10 Crosswind DrFairmont, WV 26554-9118
Phone 304-315-6109
Mailing address
10 Crosswind DrFairmont, WV 26554-9118
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Other Peer Specialist providers in Fairmont, WV
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