Jamie Rivkin Blalock, MS, APRN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Blairsville, GA
NPI 1073875902 · NPPES record last updated Aug 20, 2019
Key facts
- NPI
- 1073875902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN149435 (GA)
- Practice address
- 15 Earnest Dr
Blairsville, GA 30512-8627 - Phone
- (706) 745-8790
- NPI assigned
- Jun 15, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Privia Medical Group of Georgia LLC
Practice addresses (Care Compare)
101 Yorktown Dr
Fayetteville, GA 30214-1578
101 Yorktown Dr
Suite 100
Fayetteville, GA 30214-7663
Phone (770) 460-4285
5934 Hwy 515 E
Blairsville, GA 30512-3272
Phone (706) 970-4599
Hospital & facility affiliations
- Union General Hospital
- Chatuge Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121011000246 | GA | Practitioner - Nurse Practitioner | 5991954745 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hillcrest Clinic, LLC | Current |
Accepting new patients | |
| Union County Hospital Authority | Current | Accepting new patients | |
| Privia Medical Group of Georgia LLC | Current |
Accepting new patients | |
| Union County Hospital Authority | Current |
Accepting new patients | |
| Privia Medical Group of Georgia LLC | Current |
Accepting new patients | |
| Union County Hospital Authority | Current |
Accepting new patients | |
| Wendy L Smith M.D. PC | Past | Accepting new patients |
Locations
35 Hospital Rd
Blairsville, GA 30512
Phone (706) 439-6812
15 Earnest Dr
Blairsville, GA 30512
Phone (706) 745-0200
35 Hospital Rd
Ste B
Blairsville, GA 30512
401 Pat Haralson Dr
Unit 1
Blairsville, GA 30512
Phone (706) 745-8790
101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- jamie.blalock.1@8042.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN149435 | GA | Yes |
Addresses
Primary practice location
15 Earnest Dr
Blairsville, GA 30512-8627
Mailing address
15 Earnest Dr
Blairsville, GA 30512-8627
Phone (706) 745-8790
Other practice location 1
35 Hospital Road
Suite B
Blairsville, GA 30512
Phone (706) 745-2111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003128313F | Medicaid | GA |
Other providers in Blairsville, GA
- Rachel Victoria Benson
- Betty Jo Scharer, LPC, LLC
- Blair House Dental, LLC
- Blairsville Dentistry, LLC
- Blairsville Family Practice, PC
- Jonathan A Bloch
- Kathryn Blocker
- Blue Ridge Orthopedics Inc.
- Blue Ridge Radiology PC
- Carrie Bowden
All providers in Blairsville, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.