Individual provider Active NPI

Steven Eric Blackwood, MD

  • Orthopaedic Surgery Physician
  • Marietta, GA
National Provider Identifier
1598031437
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
89173 Issued in GA
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

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
687245OtherMSMEDICARE
02887511MedicaidMS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 1052858628, 45 clinicians
Piedmont Orthopedics, LLCGroup PAC ID 4385963172, 191 clinicians

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 Hospital, Atlanta, GA, CCN 110083
  • Piedmont Mountainside Hospital Inc Hospital, Jasper, GA, CCN 110225
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
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

LicenseStateTypeSpecialty
25843MSMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthoatlanta, LLC Orthopaedic Surgery CurrentSince Aug 16, 2021 Accepting new patients
Orthoatlanta, LLC Orthopaedic Surgery Current Accepting new patients
Orthoatlanta, LLC Orthopaedic Surgery CurrentSince Aug 16, 2021 Accepting new patients
Piedmont Orthopedics, LLC Orthopaedic Surgery CurrentSince Aug 16, 2021 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

  • FHIR API: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.