Active NPI
Steven Eric Blackwood, MD
- Orthopaedic Surgery Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 89173
- Practice address
- 620 Cherokee St NE Ste 300
Marietta, GA 30060-7233 - Phone
- (770) 635-1812
- NPI assigned
- Mar 26, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 4301111523 | MI | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 25843 | MS | |
| Orthopaedic Surgery Physician | 207X00000X | 89173 | GA | Primary |
Addresses
Primary practice location
620 Cherokee St NE Ste 300
Marietta, GA 30060-7233
Mailing address
900 Circle 75 Pkwy SE Ste 1700
Atlanta, GA 30339-3087
Phone (770) 953-6929
Other practice location 1
497 Azalea Dr Ste 102
Oxford, MS 38655-7906
Phone (662) 513-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 687245 | Other | MS | MEDICARE |
| 02887511 | Medicaid | MS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210709000247 | GA | Practitioner - Orthopedic Surgery | 3375862857 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Medical College of Georgia School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Laboratory Fitness LLCPiedmont Orthopedics, LLC
Practice addresses (Care Compare)
401 Dividend Dr
Peachtree City, GA 30269-1939
Phone (678) 506-1236
620 Cherokee St NE
Suite 300
Marietta, GA 30060-7202
Phone (770) 635-1812
Hospital & facility affiliations
- Piedmont Hospital, Inc
- Piedmont Mountainside Hospital Inc
- Wellstar Windy Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25843 | MS | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthoatlanta, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Orthoatlanta, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Orthoatlanta, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Piedmont Orthopedics, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Orthoatlanta, LLC | Orthopaedic Surgery | Past | Accepting new patients |
| Orthoatlanta, LLC | Orthopaedic Surgery | Past | Accepting new patients |
Locations (25 of 36)
2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421
455 Legends Pl SE
Ste 890
Atlanta, GA 30339
Phone (404) 418-9090
900 Circle 75 Pkwy SE
Ste 1700
Atlanta, GA 30339
Phone (770) 953-6929
1800 Howell Mill Rd NW
Ste 250
Atlanta, GA 30318
Phone (404) 537-4910
1800 Howell Mill Rd NW
Ste 200
Atlanta, GA 30318
Phone (404) 352-1015
1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222
3672 Marathon Cir
Ste 200
Austell, GA 30106
Phone (770) 944-3303
3672 Marathon Cir
Ste 120
Austell, GA 30106
Phone (678) 945-8551
3929 Peachtree Rd NE
Ste 250
Brookhaven, GA 30319
Phone (404) 352-1053
3929 Peachtree Rd NE
Ste 220
Brookhaven, GA 30319
Phone (678) 684-2220
970 Joe Frank Harris Pkwy SE
Ste 100
Cartersville, GA 30120
Phone (770) 382-4898
2976 Chapel Hill Rd
Ste 200
Douglasville, GA 30135
Phone (770) 949-8558
1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911
1265 Highway 54 W
Ste 102
Fayetteville, GA 30214
Phone (770) 460-1900
1265 Highway 54 W
Ste 308
Fayetteville, GA 30214
Phone (678) 216-0771
1265 Highway 54 W
Ste 200
Fayetteville, GA 30214
Phone (404) 785-8785
6300 Hospital Pkwy
Ste 400
Johns Creek, GA 30097
Phone (678) 205-4261
6300 Hospital Pkwy
Ste 475
Johns Creek, GA 30097
Phone (678) 205-4298
6300 Hospital Pkwy
Ste 140
Johns Creek, GA 30097
Phone (404) 357-0456
771 Old Norcross Rd
Ste 390
Lawrenceville, GA 30046
Phone (678) 957-0757
771 Old Norcross Rd
Ste 155
Lawrenceville, GA 30046
Phone (678) 957-0757
440 Charter Blvd
Ste 3302
Macon, GA 31210
Phone (478) 405-7977
620 Cherokee St NE
Ste 300
Marietta, GA 30060
Phone (770) 635-1812
101 Regency Park Dr
Ste 120
McDonough, GA 30253
Phone (678) 214-6111
2201 Newnan Crossing Blvd E
Ste 100
Newnan, GA 30265
Phone (770) 460-4747
Interoperability endpoints
- https://api.platform.athenahealth.com/327/brand/1/csg/21/fhir/r4
Organizations & group practices 7
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.
-
- Orthopaedic Surgery Physician
- Atlanta, GA
- NPI 1114317062
GA, Orthopaedic Surgery
-
- Physical Therapy Clinic/Center
- Peachtree City, GA
- NPI 1043969264
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627257600000",
"number": "1598031437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 CIRCLE 75 PKWY SE STE 1700",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303393087",
"telephone_number": "770-953-6929",
"fax_number": "770-953-6972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 CHEROKEE ST NE STE 300",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300607233",
"telephone_number": "770-635-1812"
}
],
"practiceLocations": [
{
"address_1": "497 Azalea Dr Ste 102",
"address_purpose": "LOCATION",
"city": "Oxford",
"state": "MS",
"postal_code": "386557906",
"country_code": "US",
"telephone_number": "662-513-2000",
"fax_number": "662-513-2001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLACKWOOD",
"first_name": "STEVEN",
"middle_name": "ERIC",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-26",
"last_updated": "2021-07-26",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "4301111523",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "MS",
"license": "25843",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "89173",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "687245",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02887511",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.