Laura Johnetta Blakely, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

38475 Issued in TN

Practice address

5653 Frist Blvd
Suite 434
Hermitage, TN 37076-2062

Phone

(615) 871-9996

Fax

(615) 871-9661

NPI assigned

Jul 7, 2006

Last updated

Feb 27, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Hematology/Oncology

Education

University of Tennessee, HSC, College of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cookeville Regional Medical Center Hospital, Cookeville, TN, CCN 440059
• Tristar Summit Medical Center Hospital, Hermitage, TN, CCN 440150
• Livingston Regional Hospital Hospital, Livingston, TN, CCN 440187
• Ascension Saint Thomas Hospital Hospital, Nashville, TN, CCN 440082

Merit-based Incentive Payment System (MIPS)

Final score

92.71 of 100Reported as group

Promoting interoperability

89

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Tennessee Oncology PLLC

  • Hematology & Oncology Physician
  • Nashville, TN
  • NPI 1811955917
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cookeville Regional Medical Center

  • General Acute Care Hospital
  • Cookeville, TN
  • NPI 1275531956
  Care Compare affiliation
• HCA Health Services of Tennessee, Inc.

  dba Tristar Summit Medical Center

  • General Acute Care Hospital
  • Hermitage, TN
  • NPI 1982650024
  Care Compare affiliation
• Livingston Regional Hospital LLC

  dba Livingston Regional Hospital

  • Rural Acute Care Hospital
  • Livingston, TN
  • NPI 1396760542
  Care Compare affiliation
• Saint Thomas West Hospital

  dba Ascension Saint Thomas Hospital

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1629025648
  Care Compare affiliation

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1265464499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440100",
            "telephone_number": "615-871-9996",
            "fax_number": "615-871-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5653 FRIST BLVD",
            "address_2": "SUITE 434",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762062",
            "telephone_number": "615-871-9996",
            "fax_number": "615-871-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKELY",
        "first_name": "LAURA",
        "middle_name": "JOHNETTA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TN",
            "license": "38475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AR",
            "identifier": "99620",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7820270",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "4087020",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beverly Andrews FNP PLLC
• Siddharth Bhavsar
• Michael Biersmith, MD
• Ben J Birdwell, M.D.
• Tyler Robert Blahnik, MD
• Olof Lowry Blomberg, D.M.D.
• Gregory Egbert Bobo, DC
• Homa Boms, MD
• Melissa Dawn Bond
• Molly Boring, APRN, BC

• Hematology & Oncology Physician in Hermitage, TN
• Providers in Hermitage, TN by specialty
• Hematology & Oncology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.