Mark Ashford Blizzard, FNP

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

5016589 Issued in NC

Practice address

2704 Medical Office PL
Goldsboro, NC 27534-9460

Phone

(919) 736-4724

NPI assigned

Jul 22, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mt Olive Family Medicine Center IncGroup PAC ID 3870547227, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Goldsboro, NC, CCN 347331
• Unc Health Care Wayne Hospital, Goldsboro, NC, CCN 340010

Merit-based Incentive Payment System (MIPS)

Final score

81.23 of 100Reported as group

Quality

70.25

Improvement activities

40

Cost

77.1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Mt Olive Family Medicine Center Inc

  • Family Medicine Physician
  • Mount Olive, NC
  • NPI 1467481762
  Medicare reassignment Care Compare group NPD
• Mt. Olive Family Medicine Center

  • Non-Pharmacy Dispensing Site
  • Mount Olive, NC
  • NPI 1639491038
  NPD
• Wayne Heart & Internal Medicine Associates PA

  • Internal Medicine Physician
  • Goldsboro, NC
  • NPI 1851316640
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Tar Heel Health Care Services, LLC

  dba CenterWell Home Health

  • Home Health Agency
  • Goldsboro, NC
  • NPI 1558391391
  Care Compare affiliation
• Wayne Memorial Hospital Inc

  dba UNC Health Wayne

  • General Acute Care Hospital
  • Goldsboro, NC
  • NPI 1750353462
  Care Compare affiliation

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1043945041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 SPRINGCREST DR",
            "city": "SEVEN SPRINGS",
            "state": "NC",
            "postal_code": "285789096",
            "telephone_number": "919-222-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 MEDICAL OFFICE PL",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349460",
            "telephone_number": "919-736-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLIZZARD",
        "first_name": "MARK",
        "middle_name": "ASHFORD",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NC",
            "license": "5016589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Lindsay Black
• Thomas Gibson Blackman, O.D.
• Tracy Blackmon, MSW, LCSW, LCAS
• Bladenboro Assisted Living
• Darryl Blevins, LCAS
• Blue Horizons Counseling Center Inc.
• Bluebell Health & Wellness, PLLC
• Fareiza Blunt, LCSWA
• James Robert Bobco Jr., MD
• Tasha Westbrook Bollin, RN, FNP-C

• Adult Medicine Physician in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Adult Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.

Verify at the official NPI Registry.