Bluff Drive Medical

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

003951 Issued in GA

Legal business name

BLUFF DRIVE MEDICAL

Practice address

954 Memorial Dr
Gainesville, GA 30501-2334

Phone

(678) 897-9577

NPI assigned

Apr 21, 2017

Last updated

Apr 21, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John D Filson, PA

Title

Provider

Phone

(678) 897-9577

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1659806248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 MEMORIAL DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012334",
            "telephone_number": "678-897-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 MEMORIAL DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012334",
            "telephone_number": "678-897-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUFF DRIVE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "FILSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "678-897-9577",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "003951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Blauvelt, AGACNP
• John W Bleecker, DDS
• Clayton Gregg Blehm, MD
• David M. Blomert, M.D.
• Bluesprig
• Joy P Boatright, PA
• Abijha Biju Boban, DO
• Charlotte Bobbitt, FNP-C
• Zain Boghani, M.D.
• Marta T Bognar, M.D.

• Surgical Physician Assistant in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.