Individual provider Active NPI

Blayne Elyse Thomason Santa Maria, MD

  • Obstetrics & Gynecology Physician
  • Augusta, GA
National Provider Identifier
1497545644
Registry record updated May 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
17440 Issued in GA
Practice address
1125 15TH St # Ba7515
Augusta, GA 30912-5775
Phone
(706) 618-0066
NPI assigned
May 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 17440 GA Primary

Addresses

Primary practice location

1125 15TH St # Ba7515
Augusta, GA 30912-5775

Mailing address

69 Pampas Way Unit 6904
Augusta, GA 30904-5775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20250724003856 GA Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 0446767511

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1746835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746835200000",
    "number": "1497545644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 PAMPAS WAY UNIT 6904",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309045775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 15TH ST # BA7515",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309125775",
            "telephone_number": "706-618-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMASON SANTA MARIA",
        "first_name": "BLAYNE",
        "middle_name": "ELYSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-10",
        "last_updated": "2025-05-10",
        "certification_date": "2025-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "17440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.