Blued Consultant Solutions, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

BLUED CONSULTANT SOLUTIONS, LLC

Practice address

256 Rainbow LN
McDonough, GA 30252-4839

Phone

(229) 291-7880

NPI assigned

Oct 24, 2019

Organization subpart

No

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

Authorized official

Name

Samantha Patrice Williams

Title

Ceo

Phone

(229) 291-7880

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571875200000",
    "number": "1528601200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 RAINBOW LN",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302524839",
            "telephone_number": "229-291-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 RAINBOW LN",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302524839",
            "telephone_number": "229-291-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUED CONSULTANT SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "PATRICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "229-291-7880"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah C. Blanton, M.D.
• Nicole Blanton
• Gabrielle N. Blaylock, PA-C, ATC
• Paula Nicole Bloom, PSYD
• Blue Reliable
• Daniel Wesston Boatwright, PHARM.D.
• Angela M Bodie
• Body Mechanics Rehabilitation Services, LLC
• Body Mechanics Rehabilitation Services, LLC
• Bohland Family Chiropractic Clinic Inc.

• Medical Specialty Clinic/Center in McDonough, GA
• Providers in McDonough, GA by specialty
• Medical Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.