Allyson Catherine Bloom, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN209509 Issued in GA

Practice address

2323 Cheshire Bridge Rd NE
Atlanta, GA 30324-3725

Phone

(310) 429-8835

Fax

(843) 936-1787

NPI assigned

Sep 13, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gwinnett Center Medical Associates 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gwinnett Center Medical Associates

  • Primary Care Clinic/Center
  • Lawrenceville, GA
  • NPI 1811097181

  GA

  Medicare reassignment Care Compare group NPD
• Emergent Testing LLC

  • Emergency Medicine Physician
  • Atlanta, GA
  • NPI 1982214888
  NPD
• Gwinnett Center Medical Associates

  • Medical Physician Assistant
  • Lawrenceville, GA
  • NPI 1326144734
  NPD (past)

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1558030445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6894 LANCASTER XING",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305427627",
            "telephone_number": "404-451-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 CHESHIRE BRIDGE RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243725",
            "telephone_number": "310-429-8835",
            "fax_number": "843-936-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "ALLYSON",
        "middle_name": "CATHERINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN209509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie L Bloodsaw
• Jasmin Bloodsoe, AA. B.A. M.S NCC
• Kimberly Bloodworth, OTRL
• Bloom Psychiatry & Wellness LLC
• Bloom Therapy LLC
• Candace Rori Bloom
• Glenn R Bloom, MD
• Heather Lynn Bloom, MD
• Ingrid B Bloom, MD
• Jennifer Ann Bloom, RN

• All providers in Atlanta, GA
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.