Active NPI
Bliss Family Medicine LLC
- Nurse Practitioner
- Duluth, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Neena Bhatia
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2302103 | Bliss Family Medicine, LLC | Certificate of waiver | Apr 3, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Bliss Family Medicine
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nurse Practitioner
- Tucker, GA
- NPI 1841177631
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.