Individual provider Active NPI

Ann Marie Blair, NP-C

  • Family Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1013258367
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
111994 Issued in GA
Practice address
610 19TH St
Columbus, GA 31901-1528
Phone
(706) 322-7884
NPI assigned
Mar 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 111994 GA Primary

Addresses

Primary practice location

610 19TH St
Columbus, GA 31901-1528

Mailing address

6721 Bridge Way
Columbus, GA 31904-1298
Phone (706) 587-6469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150514000560 GA Practitioner - Nurse Practitioner 7618297698 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111994GAMDFamily Nurse Practitioner
RN111994GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical Center Inc CurrentSince Jul 1, 2015 Accepting new patients
St. Francis Psychiatrist ,LLC Current Accepting new patients
Columbus Clinic, P.C. Current Accepting new patients
The Medical Center Inc CurrentSince Jul 1, 2015 Accepting new patients

Locations

705 17th St
Columbus, GA 31901
Phone (706) 243-4404

610 19th St
Columbus, GA 31901
Phone (706) 322-7884

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

Interoperability endpoints

  • Direct secure messaging: ann.blair@sfhga.gadirect.net
  • Direct secure messaging: ann.marie.blair@gadirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1013258367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6721 BRIDGE WAY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319041298",
            "telephone_number": "706-587-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 19TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011528",
            "telephone_number": "706-322-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-12",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "111994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.