Individual provider Active NPI

James Allen Blankenship, C-APN

  • Family Nurse Practitioner
  • Lumpkin, GA
National Provider Identifier
1326481979
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024165021 Issued in VA
Practice address
146 Cca Road
Lumpkin, GA 31815
Phone
(229) 838-1270
Fax
(866) 381-0255
NPI assigned
Apr 14, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001177356 VA
General Practice Registered Nurse 163WG0000X 50624 WV
Family Nurse Practitioner 363LF0000X 0024165021 VA Primary
Family Nurse Practitioner 363LF0000X 0017137421 VA
Family Nurse Practitioner 363LF0000X 1177356 VA

Addresses

Primary practice location

146 Cca Road
Lumpkin, GA 31815

Mailing address

PO Box 248
146 Cca Rd
Lumpkin, GA 31815
Phone (229) 838-1270

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

State licenses

LicenseStateTypeSpecialty
0001177356VAMDRegistered Nurse
50624WVMDGeneral Practice Registered Nurse
0017137421VAMDFamily Nurse Practitioner
0024165021VAMDFamily Nurse Practitioner
1177356VAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1365897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1326481979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248",
            "address_2": "146 CCA RD",
            "city": "LUMPKIN",
            "state": "GA",
            "postal_code": "31815",
            "telephone_number": "229-838-1270",
            "fax_number": "866-381-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 CCA ROAD",
            "city": "LUMPKIN",
            "state": "GA",
            "postal_code": "31815",
            "telephone_number": "229-838-1270",
            "fax_number": "866-381-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKENSHIP",
        "first_name": "JAMES",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "C-APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-14",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001177356",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "WV",
            "license": "50624",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024165021",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0017137421",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "1177356",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumpkin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.