Organization Active NPI

Bliss Family Medicine LLC

  • Nurse Practitioner
  • Duluth, GA
National Provider Identifier
1255108502
Registry record updated Jan 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
BLISS FAMILY MEDICINE LLC
Doing business as
Bliss Family Medicine LLC
Practice address
3195 Buford Hwy Ste 1
Duluth, GA 30096-5707
Phone
(678) 200-5468
NPI assigned
Dec 6, 2023
Last updated
Jan 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2024

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

Authorized official

Name
Neena BhatiaNPI 1376022434
Title
Owner
Phone
(678) 200-5468

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

3195 Buford Hwy Ste 1
Duluth, GA 30096-5707

Mailing address

3195 Buford Hwy Ste 1
Duluth, GA 30096-5707
Phone (678) 200-5468

Other names 1

  • Bliss Family Medicine LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240119002865 GA Part B Supplier - Clinic/Group Practice 5294187761 Receives reassigned benefits from 1 practitioner
Practice locations: Duluth, GA; Tucker, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2302103Bliss Family Medicine, LLC3195 Buford Hwy, Ste 1, Duluth, GA 30096Certificate of waiverApr 3, 2028

National Provider Directory

National Provider Directory
Tax ID family
Bliss Family Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3195 Buford Hwy
Ste 1
Duluth, GA 30096
Phone (678) 200-5468

1974 Montreal Rd
Tucker, GA 30084
Phone (678) 243-5021

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704585600000",
    "number": "1255108502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3195 BUFORD HWY STE 1",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965707",
            "telephone_number": "678-200-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 BUFORD HWY STE 1",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965707",
            "telephone_number": "678-200-5468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISS FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2024-01-07",
        "certification_date": "2024-01-07",
        "status": "A",
        "authorized_official_last_name": "BHATIA",
        "authorized_official_first_name": "NEENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-200-5468"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bliss Family Medicine LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.