Blake E Milner, M.D.
Individual provider Active NPI Family Medicine Physician · Eastman, GA
NPI 1336256015 · NPPES record last updated Jun 17, 2014
Key facts
- NPI
- 1336256015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 052789 (GA)
- Practice address
- 1111 Griffin Ave
Eastman, GA 31023-9101 - Phone
- (478) 374-8998
- Fax
- (478) 374-8525
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 8
Medicare Care Compare profile
- 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 LLC
Practice addresses (Care Compare)
1111 Griffin Ave
Suite 1B
Eastman, GA 31023-9104
Phone (478) 448-4050
Hospital & facility affiliations
- Adoration Home Health
- Chsga Home Health
- Hospice Care Options Inc.
- Dodge County Hospital
- Bleckley Memorial Hospital
- Fairview Park Hospital
- Taylor Regional Hospital
- Taylor Regional Hospital
- Heart of Georgia Nursing Home
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.4 of 100
- Quality
- 82.3
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 65.76
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 25 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101130000884 | GA | Practitioner - Family Practice | 0446311534 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052789 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dodge County Hospital Authority | Family Medicine | Current |
Accepting new patients |
| Mid Georgia Total Care LLC | Family Medicine | Current |
Accepting new patients |
| Dodge County Hospital Authority | Current | Accepting new patients | |
| Blake E. Milner, M.D. P.C. | Family Medicine | 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
- https://fhir4.healow.com/fhir/r4/CEBDAD/Endpoint/CEBDAD
- https://fhir4.healow.com/fhir/r4/CEBDAD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 052789 | GA | Yes |
Addresses
Primary practice location
1111 Griffin Ave
Eastman, GA 31023-9101
Mailing address
1111 Griffin Ave
Eastman, GA 31023-9101
Phone (478) 374-8998
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043644539A | Other | GA | MEDICAID |
| 170591 | Other | GA | WELLCARE |
| 002243 | Other | GA | BLUE CROSS BLUE SHIELD |
| 109050 | Other | GA | PEACH STATE HEALTH PLAN |
Other providers in Eastman, GA
- Middle Georgia Nursing Home, Inc
- Middle Georgia Nursing Home, Inc.
- Middle Georgia Sleep & Wellness Center, LLC
- Middle Georgia Total Health Center, LLC
- Bart Steele Milner
- Olubansile A Mimiko
- Demetria Aries Mitchell
- Dana W Mullis
- Debbie Jones Mullis
- James Michael Mullis
All providers in Eastman, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.