NPIMap

Organization Active NPI

Blackshear Family Practice

  • Family Medicine Physician
  • Nahunta, GA
National Provider Identifier
1497962435
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BLACKSHEAR FAMILY PRACTICE
Practice address
71 Johnson St
Nahunta, GA 31553-4032
Phone
(912) 462-8920
Fax
(912) 449-9766
NPI assigned
May 17, 2007
Organization subpart
Yes
Parent organization
GEORGIA PHYSICIANS SOUTH PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Authorized official

Name
Lisa Thrift
Title
Practice Manager
Phone
(912) 449-1501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

71 Johnson St
Nahunta, GA 31553-4032

Mailing address

PO Box 1005
Nahunta, GA 31553-1005
Phone (912) 462-8920

National Provider Directory

National Provider Directory
Tax ID family
Blackshear Fam Practic2 organizations share this tax ID, including this one
Part of
Blackshear Fam Practic

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1497962435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1005",
            "city": "NAHUNTA",
            "state": "GA",
            "postal_code": "315531005",
            "telephone_number": "912-462-8920",
            "fax_number": "912-449-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 JOHNSON ST",
            "city": "NAHUNTA",
            "state": "GA",
            "postal_code": "315534032",
            "telephone_number": "912-462-8920",
            "fax_number": "912-449-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKSHEAR FAMILY PRACTICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GEORGIA PHYSICIANS SOUTH PC",
        "enumeration_date": "2007-05-17",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "THRIFT",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "912-449-1501"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nahunta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.