Individual provider Active NPI

Rashawn M Blakeney, MD

  • Family Medicine Physician
  • Augusta, GA
National Provider Identifier
1326144239
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
053100 Issued in GA
Practice address
3634 J Dewey Gray Cir
Suite 308
Augusta, GA 30909-6580
Phone
(706) 855-5650
Fax
(706) 863-0821
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 053100 GA Primary

Addresses

Primary practice location

3634 J Dewey Gray Cir
Suite 308
Augusta, GA 30909-6580

Mailing address

3624 J Dewey Gray Cir
Suite 308
Augusta, GA 30909-6584
Phone (706) 855-5650

Other identifiers 1

IdentifierTypeStateIssuer
704247972CMedicaidGA

Other names 1

  • Rashawn Lanell Mann Former name

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)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: rashawn.blakeney@340587261919236.direct.elationemr.com
  • Direct secure messaging: rashawn.blakeney.3@16517.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1326144239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3624 J DEWEY GRAY CIR",
            "address_2": "SUITE 308",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096584",
            "telephone_number": "706-855-5650",
            "fax_number": "706-863-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3634 J DEWEY GRAY CIR",
            "address_2": "SUITE 308",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096580",
            "telephone_number": "706-855-5650",
            "fax_number": "706-863-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKENEY",
        "first_name": "RASHAWN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "053100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "704247972C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RASHAWN",
            "last_name": "MANN",
            "middle_name": "LANELL",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.