NPIMap

Individual provider Active NPI

Blake E Milner, M.D.

  • Family Medicine Physician
  • Eastman, GA
National Provider Identifier
1336256015
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
052789 Issued in GA
Practice address
1111 Griffin Ave
Eastman, GA 31023-9101
Phone
(478) 374-8998
Fax
(478) 374-8525
NPI assigned
Aug 25, 2006
Last updated
Jun 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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 052789 GA Primary

Addresses

Primary practice location

1111 Griffin Ave
Eastman, GA 31023-9101

Mailing address

1111 Griffin Ave
Eastman, GA 31023-9101
Phone (478) 374-8998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101130000884 GA Practitioner - Family Practice 0446311534 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid Georgia Total Care LLCGroup PAC ID 4587978960, 3 clinicians

Practice addresses (Care Compare)

1111 Griffin Ave
Suite 1B
Eastman, GA 31023-9104
Phone (478) 448-4050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.4 of 100Reported as group
Quality
82.3
Promoting interoperability
96
Improvement activities
40
Cost
65.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions25
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
052789GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Georgia Total Care LLC Family Medicine CurrentSince Jun 15, 2015 Accepting new patients
Dodge County Hospital Authority Family Medicine CurrentSince Jun 1, 2022 Accepting new patients
Blake E. Milner, M.D. P.C. Family Medicine CurrentSince Sep 1, 2003 Accepting new patients
Dodge County Hospital Authority Current Accepting new patients
Az Operator LLC Past Accepting new patients

Locations

1111 Griffin Ave
Ste 1B
Eastman, GA 31023
Phone (478) 374-8998

901 Griffin Ave
Eastman, GA 31023
Phone (478) 374-4000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEBDAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CEBDAD/Endpoint/CEBDAD

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1336256015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 GRIFFIN AVE",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310239101",
            "telephone_number": "478-374-8998",
            "fax_number": "478-374-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GRIFFIN AVE",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310239101",
            "telephone_number": "478-374-8998",
            "fax_number": "478-374-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILNER",
        "first_name": "BLAKE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "052789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastman, GA

Sources for this page

Verify at the official NPI Registry.