Individual provider Active NPI

Tommy D Bledsoe, M.D.

  • Internal Medicine Physician
  • Chatsworth, GA
National Provider Identifier
1194744524
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
041730 Issued in GA
Practice address
800 Gi Maddox Pkwy
Chatsworth, GA 30705-4008
Phone
(706) 695-1992
Fax
(866) 348-6516
NPI assigned
Jul 18, 2006
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 041730 GA Primary

Addresses

Primary practice location

800 Gi Maddox Pkwy
Chatsworth, GA 30705-4008

Mailing address

800 Gi Maddox Pkwy
Chatsworth, GA 30705-4008
Phone (706) 695-1992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100524000396 GA Practitioner - Internal Medicine 6305815226

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Medical Center, Inc. CurrentSince May 26, 2021 Accepting new patients
Saint Francis Medical Center Internal Medicine Past Accepting new patients
Dalton Cardiology, P.C. Past Accepting new patients
Heritage Medical Management Group LLC PastSince Sep 21, 2025 Accepting new patients

Locations

800 Gi Maddox Pkwy
Chatsworth, GA 30705
Phone (706) 686-8015

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1194744524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 GI MADDOX PKWY",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307054008",
            "telephone_number": "706-695-1992",
            "fax_number": "866-348-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GI MADDOX PKWY",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307054008",
            "telephone_number": "706-695-1992",
            "fax_number": "866-348-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEDSOE",
        "first_name": "TOMMY",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "041730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, GA

Sources for this page

Verify at the official NPI Registry.