Individual provider Active NPI

John Blumer, M.D.

  • Family Medicine Physician
  • Brunswick, GA
National Provider Identifier
1619984150
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
053101 Issued in GA
Practice address
3222-A Shrine Road
Brunswick, GA 31520-4325
Phone
(912) 264-6303
Fax
(912) 264-6323
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 053101 GA Primary

Addresses

Primary practice location

3222-A Shrine Road
Brunswick, GA 31520-4325

Mailing address

2415 Parkwood Drive
Brunswick, GA 31520-4722
Phone (478) 625-7000

Other identifiers 1

IdentifierTypeStateIssuer
090506735CMedicaidGA

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
I20081029000183 GA Practitioner - Family Practice 3971661315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Mercer University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooperative Healthcare Services IncGroup PAC ID 9830093640, 235 clinicians

Practice addresses (Care Compare)

2415 Parkwood Dr
Brunswick, GA 31520-4722
Phone (912) 466-4079

3222 Shrine Rd a
Brunswick, GA 31520-4357
Phone (912) 264-6303

5000 Wellness Way
St Simons Island, GA 31522-2287
Phone (912) 466-5900

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Brunswick, GA, CCN 117144
  • Advantage Home Health Home health agency, Brunswick, GA, CCN 117088
  • Adoration Home Health Home health agency, Brunswick, GA, CCN 117317
  • Southeast Georgia Health System- Brunswick Campus Hospital, Brunswick, GA, CCN 110025
  • Southeast Georgia Health System -- Camden Campus Hospital, Saint Marys, GA, CCN 110146

Merit-based Incentive Payment System (MIPS)

Final score
76.36 of 100Reported as group
Quality
46.72
Promoting interoperability
99
Improvement activities
40
Cost
75.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cooperative Healthcare Services Inc Family Medicine CurrentSince Jul 19, 2008 Accepting new patients
Anesthesia Associates of Savannah ,PA Past Accepting new patients
Hospital Authority of Jefferson County and the City of Louisville Past Accepting new patients
Hospital Authority of Jefferson County and the City of Louisville Past Accepting new patients

Locations

3222 Shrine Rd
Ste A
Brunswick, GA 31520
Phone (912) 264-6303

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

3222 Shrine Rd
#A
Brunswick, GA 31520
Phone (912) 264-6303

Interoperability endpoints

  • Direct secure messaging: jblumer@secure.sghsmessaging.org

Organizations & group practices 4

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 5

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1619984150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 PARKWOOD DRIVE",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204722",
            "telephone_number": "478-625-7000",
            "fax_number": "478-625-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3222-A SHRINE ROAD",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204325",
            "telephone_number": "912-264-6303",
            "fax_number": "912-264-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMER",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "053101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090506735C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.