Gim Barry Blackston, MD, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

16698 Issued in SC

Legal business name

GIM BARRY BLACKSTON, MD, PA

Practice address

8 Memorial Medical CT Ste 4
Greenville, SC 29605-4400

Phone

(864) 242-5678

Fax

(864) 242-5679

NPI assigned

Sep 14, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Barry C Blackston, MDNPI 1316948185

Title

Director

Phone

(864) 242-5678

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Barry C Blackston, M.D.

  • Internal Medicine Physician
  • Greenville, SC
  • NPI 1316948185
  NPD Authorized official

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689193237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MEMORIAL MEDICAL CT STE 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054400",
            "telephone_number": "864-242-5678",
            "fax_number": "864-242-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MEMORIAL MEDICAL CT STE 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054400",
            "telephone_number": "864-242-5678",
            "fax_number": "864-242-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIM BARRY BLACKSTON, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BLACKSTON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "864-242-5678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "16698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1316948185",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Gilreath
• Jennifer Ann Gilroy, M.D.
• Kevin Michael Gilroy, M.D.
• Cheryl Gilson
• Daniel Alexander Gilstrap, DPT
• Gingerich LLC
• Cody Ray Gingerich, DPT
• William Gingery
• Yana Ginzburg, PT
• Janis Giordanelli, MA, CCC-SLP

• Internal Medicine Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Internal Medicine Physician in South Carolina

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.