Individual provider Active NPI

Blondenia Labrew, NP

  • Nurse Practitioner
  • Aiken, SC
National Provider Identifier
1578039798
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN148963 Issued in GA
Practice address
1023 Silver Bluff Rd
Aiken, SC 29803-5879
Phone
(803) 502-5515
NPI assigned
Oct 15, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RN148963 GA
Nurse Practitioner 363L00000X RN148963 GA Primary

Addresses

Primary practice location

1023 Silver Bluff Rd
Aiken, SC 29803-5879

Mailing address

1291 Cummings Rd
Ridge Spring, SC 29129-9651
Phone (803) 270-3351

Other practice location 1

2123 Wrightsboro Rd
Augusta, GA 30904-4777
Phone (706) 736-5244

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20241218003261 SC Practitioner - Nurse Practitioner 2769919539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Medical Care CorporationGroup PAC ID 6002802220, 368 clinicians

Practice addresses (Care Compare)

1023 Silver Bluff Rd
Aiken, SC 29803-5879
Phone (803) 502-5515

Hospital & facility affiliations

  • Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028
  • Aiken Regional Medical Center Hospital, Aiken, SC, CCN 420082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
22155SCMDCommunity Health Registered Nurse
RN148963GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Medical Care Corporation Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
Csra Medical Associates PastSince Jul 1, 1997 Accepting new patients
Piedmont Professional Services, LLC Family Medicine Past Accepting new patients

Locations

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

1021 Silver Bluff Rd
Aiken, SC 29803
Phone (803) 648-0587

1023 Silver Bluff Rd
Aiken, SC 29803
Phone (803) 502-5515

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1578039798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1291 CUMMINGS RD",
            "city": "RIDGE SPRING",
            "state": "SC",
            "postal_code": "291299651",
            "telephone_number": "803-270-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 SILVER BLUFF RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035879",
            "telephone_number": "803-502-5515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2123 Wrightsboro Rd",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309044777",
            "country_code": "US",
            "telephone_number": "706-736-5244",
            "fax_number": "706-736-5246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LABREW",
        "first_name": "BLONDENIA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-15",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "RN148963",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN148963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.