Active NPI
Giselle Devonne Blair, M.D.
- Family Medicine Physician
- Greenville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 89984495
- Practice address
- 315 W 2ND St
Greenville, NC 27834-1969 - Phone
- (252) 507-0588
- Fax
- (855) 937-0774
- NPI assigned
- May 15, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 89984495 | NC | Primary |
Addresses
Primary practice location
315 W 2ND St
Greenville, NC 27834-1969
Mailing address
315 W 2ND St
Greenville, NC 27834-1969
Phone (252) 507-0588
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, NC, SC, NY, ME, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Albemarle Hospital Authority
Practice addresses (Care Compare)
501 Main St
Gatesville, NC 27938-9424
Phone (252) 357-1226
Hospital & facility affiliations
- Catawba Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89984495 | NC | MD | Family Medicine Physician |
Practice roles (7 of 19)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway Community Health Centers, Inc. | Multi-Specialty | Current | Accepting new patients |
| University Primary Care | Multi-Specialty | Current | Accepting new patients |
| Galileo Medical Group Ga, P.C. | Multi-Specialty | Current | Accepting new patients |
| Galileo Medical PC | Multi-Specialty | Current | Accepting new patients |
| Gateway Community Health Centers, Inc | Current | Accepting new patients | |
| Galileo Medical Group Al, P.C. | Multi-Specialty | Current | Accepting new patients |
| Galileo Medical Group Me, PC | Multi-Specialty | Current | Accepting new patients |
Locations
324 Commons Dr
Birmingham, AL 35209
Phone (334) 442-9805
4300 Paces Ferry Rd SE
Ste 500
Atlanta, GA 30339
Phone (404) 496-8960
820 Saint Sebastian Way
Ste 4C
Augusta, GA 30901
Phone (706) 774-5997
436 Main St
Presque Isle, ME 04769
Phone (347) 933-6246
1134 N Road St
Elizabeth Cty, NC 27909
Phone (252) 333-1047
501 Main St
Gatesville, NC 27938
Phone (252) 357-0522
2869 Virginia Rd
Tyner, NC 27980
Phone (252) 221-1033
632 Broadway
Ph 12
New York, NY 10012
Phone (347) 294-3414
64 Bleecker St
New York, NY 10012
Phone (302) 313-1584
319 Lafayette St
#151
New York, NY 10012
Phone (302) 313-1584
632 Broadway
New York, NY 10012
Phone (347) 762-7392
Networks
- TN PPO C-SNP
- TN PPO
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- AL HMO D-SNP
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- AL HMO
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
Interoperability endpoints
- giselle.blair@450368864321540.direct.elationemr.com
- giselle.blair.1@22797.direct.athenahealth.com
- https://api.platform.athenahealth.com/18871/brand/2/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/HHAECD/Endpoint/HHAECD
Organizations & group practices 9
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.
-
- Family Medicine Physician
- New York, NY
- NPI 1245920305
GA, Multi-Specialty
-
- Family Medicine Physician
- New York, NY
- NPI 1154019313
ME, Multi-Specialty
-
- Federally Qualified Health Center (FQHC)
- Elizabeth City, NC
- NPI 1487936514
Multi-Specialty
-
- Internal Medicine Physician
- Greenville, NC
- NPI 1831660265
-
- Federally Qualified Health Center (FQHC)
- Gastonia, NC
- NPI 1215932215
-
- Clinic Pharmacy
- Gatesville, NC
- NPI 1447843370
-
- Family Medicine Physician
- New York, NY
- NPI 1548033715
Multi-Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hickory, NC
- NPI 1164495255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598572800000",
"number": "1013276708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 W 2ND ST",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278341969",
"telephone_number": "252-507-0588",
"fax_number": "855-937-0774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 W 2ND ST",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278341969",
"telephone_number": "252-507-0588",
"fax_number": "855-937-0774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAIR",
"first_name": "GISELLE",
"middle_name": "DEVONNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-15",
"last_updated": "2020-08-28",
"certification_date": "2020-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "89984495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.