Active NPI
Loren Bland, FNP-C
- Family Nurse Practitioner
- Griffin, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN164599NP
- Practice address
- 619 S 8TH St Ste 200
Griffin, GA 30224-4260 - Phone
- (770) 227-1587
- Fax
- (770) 227-1485
- NPI assigned
- Oct 12, 2007
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN164599NP | GA | Primary |
Addresses
Primary practice location
619 S 8TH St Ste 200
Griffin, GA 30224-4260
Mailing address
619 S 8TH St Ste 200
Griffin, GA 30224-4260
Phone (770) 227-1587
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00471136 | Other | GA | RAILROAD MEDICARE |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
619 S 8TH St
Griffin, GA 30224-4260
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine of Griffin | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Griffin OBGYN Clinic PA | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients |
Locations
503 S 8th St
Griffin, GA 30224
Phone (770) 227-5505
619 S 8th St
Ste 200
Griffin, GA 30224
Phone (770) 227-1587
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
403 W Main St
Thomaston, GA 30286
Phone (706) 646-2888
Interoperability endpoints
- https://api.platform.athenahealth.com/13935/brand/1/csg/1/fhir/r4
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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dba WellStar Family Medicine ACW
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-
- Obstetrics & Gynecology Physician
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-
- Specialist
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- NPI 1073562633
-
dba WellStar Neurosciences
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- NPI 1083027320
-
- Multi-Specialty Clinic/Center
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- NPI 1275992240
-
- Family Medicine Physician
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- Family Medicine Physician
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-
- Family Medicine Physician
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- Sleep Medicine (Family Medicine) Physician
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- NPI 1922831445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1649468844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 S 8TH ST STE 200",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302244260",
"telephone_number": "770-227-1587",
"fax_number": "770-227-1485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 S 8TH ST STE 200",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302244260",
"telephone_number": "770-227-1587",
"fax_number": "770-227-1485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAND",
"first_name": "LOREN",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-12",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN164599NP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00471136",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Griffin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.