Active NPI
Taisha Blair, MD
- Pediatrics Physician
- Atlanta, GA
National Provider Identifier
1255894374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 92088
- Practice address
- 100 Woodruff Cir NE Ste 327
Atlanta, GA 30322-1020 - Phone
- (404) 727-5658
- NPI assigned
- Apr 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 92088 | GA | Primary |
Addresses
Primary practice location
100 Woodruff Cir NE Ste 327
Atlanta, GA 30322-1020
Mailing address
100 Woodruff Cir NE Ste 327
Atlanta, GA 30322-1020
Phone (404) 727-5658
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92088 | GA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655251200000",
"number": "1255894374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WOODRUFF CIR NE STE 327",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221020",
"telephone_number": "404-727-5658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WOODRUFF CIR NE STE 327",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221020",
"telephone_number": "404-727-5658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAIR",
"first_name": "TAISHA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-08",
"last_updated": "2022-06-15",
"certification_date": "2022-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "92088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.