Individual provider Active NPI

Heather Ilene Blomeley, M.D.

  • Pediatric Anesthesiology Physician
National Provider Identifier
1073620704
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
74942 Issued in GA
Practice address
LRMC Department of Anesthesiology
CMR 402
Apo, AE 09180
Phone
(496) 371-9464
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Anesthesiology Physician 207LP3000X TP929 KY
Pediatric Anesthesiology Physician 207LP3000X 74942 GA Primary
Anesthesiology Physician 207L00000X 35590 NC

Addresses

Primary practice location

LRMC Department of Anesthesiology
CMR 402
Apo, AE 09180

Mailing address

PO Box 190
Mill Spring, NC 28756-0190
Phone (828) 894-8940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC, KY, GA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20080826000167 FL Practitioner - Anesthesiology 5597869073 Reassigns benefits to 1 organization
I20210820002645 SC Practitioner - Anesthesiology 5597869073
I20240206002546 KY Practitioner - Anesthesiology 5597869073 Reassigns benefits to 1 organization
I20240906003818 GA Practitioner - Anesthesiology 5597869073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

1120 15TH St
Augusta, GA 30912-0004
Phone (706) 721-8623

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TP929KYMDPediatric Anesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Nemours Foundation CurrentSince Jun 23, 2023 Accepting new patients
The Nemours Foundation CurrentSince Jun 23, 2023 Accepting new patients
Wellstar Medical Group, LLC CurrentSince May 30, 2024 Accepting new patients
The Nemours Foundation Current Accepting new patients
Norton Children'S Medical Group, LLC CurrentSince Jan 15, 2024 Accepting new patients
Norton Children'S Medical Group, LLC CurrentSince Jan 15, 2024 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Norton Children'S Medical Group, LLC Current Accepting new patients
Premier Anesthesia of Richland a Division of Premier Anesthesia, LLC Anesthesiology Past Accepting new patients
Turlock Anesthesia Medical Group Inc Anesthesiology Past Accepting new patients
Redwood Anesthesia Services, a Medical Corporation Anesthesiology Past Accepting new patients
Anesthetix of Lexington, PLLC Anesthesiology Past Accepting new patients

Locations

10140 Centurion Pkwy N
Jacksonville, FL 32256
Phone (904) 697-4100

807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600

1120 15th St
#6000
Augusta, GA 30912
Phone (706) 721-3813

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

4910 Chamberlain Ln
Louisville, KY 40241
Phone (502) 446-5000

Organizations & group practices 12

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1073620704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "MILL SPRING",
            "state": "NC",
            "postal_code": "287560190",
            "telephone_number": "828-894-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "LRMC DEPARTMENT OF ANESTHESIOLOGY",
            "address_2": "CMR 402",
            "city": "APO",
            "state": "AE",
            "postal_code": "09180",
            "telephone_number": "496-371-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOMELEY",
        "first_name": "HEATHER",
        "middle_name": "ILENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "KY",
            "license": "TP929",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "GA",
            "license": "74942",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "35590",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.