Christy P Blackwell

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP170034 Issued in GA

Practice address

4104 Buffalo TRL
Evans, GA 30809-0959

Phone

(706) 294-6135

Fax

(706) 294-6135

NPI assigned

Mar 21, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Mrs. Christy P Blackwell Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1184128514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 BUFFALO TRL",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308090959",
            "telephone_number": "706-294-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 BUFFALO TRL",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308090959",
            "telephone_number": "706-294-6135",
            "fax_number": "706-294-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "CHRISTY",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "GA",
            "license": "RN170034",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "NP170034",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN170034",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTY",
            "last_name": "BLACKWELL",
            "middle_name": "P",
            "prefix": "MRS.",
            "credential": "FNP-BC, APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Better Days Therapies of Augusta
• Bielda Serenity Maison (Homewell Care Services)
• Bio-Medical Applications of Georgia, Inc. (Fresenius Medical Care Evans)
• Kelsey Birt
• Leigh Blackburn, M.ED., CCC-SLP
• Ashlee Blakeslee, NP
• Rosa C Blanco, D.M.D.
• Keith S Blevins, DDS
• Colleen Boehm
• Allison Carol Boggs, CCC-SLP

• Family Nurse Practitioner in Evans, GA
• Providers in Evans, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.