Steven Blakely Georgian

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

80244 Issued in MS

Practice address

872 Winter St
Lucedale, MS 39452-5797

Phone

(601) 673-4625

Fax

(601) 673-4627

NPI assigned

Apr 2, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

George County HospitalGroup PAC ID 5294717013, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Deaconess Homecare- Region I Home health agency, Laurel, MS, CCN 257085
• George Regional Health System Hospital, Lucedale, MS, CCN 250036

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stevengeorgian@communitym.allscriptsdirect.net

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.

• George County Hospital

  • Rural Acute Care Hospital
  • Lucedale, MS
  • NPI 1023074028

  MS

  Medicare reassignment Care Compare group NPD
• George Regional ER Physicians

  • Emergency Medical Services (Emergency Medicine) Physician
  • Lucedale, MS
  • NPI 1043690936

  MS

  Medicare reassignment NPD
• George County Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Lucedale, MS
  • NPI 1932166444
  Care Compare group
• George County Hospital

  • Foot & Ankle Surgery Podiatrist
  • Lucedale, MS
  • NPI 1114664885

  Foot & Ankle Surgery

  NPD
• George County Hospital

  • Orthopaedic Surgery Physician
  • Lucedale, MS
  • NPI 1376166900
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• George County Hospital

  • Rural Acute Care Hospital
  • Lucedale, MS
  • NPI 1023074028

  Hospital

  Care Compare affiliation
• South Mississippi Home Health, Inc. - Region I

  • Home Health Agency
  • Laurel, MS
  • NPI 1326039470
  Care Compare affiliation

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1699237461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1007",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394521007",
            "telephone_number": "601-673-4625",
            "fax_number": "601-673-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "872 WINTER ST",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394525797",
            "telephone_number": "601-673-4625",
            "fax_number": "601-673-4627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Allegheny General Hospital, 320 East North Avenue",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "15212",
            "country_code": "US",
            "telephone_number": "412-688-7578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGIAN",
        "first_name": "STEVEN",
        "middle_name": "BLAKELY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-02",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MS",
            "license": "80244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George County School District
• George Regional ER Physicians
• George Regional Health and Rehab Center
• George Regional Hospital
• George Regional Radiology
• Benjamin Giuffria, MD
• Vivian Leigh Goodwin
• Joy Byrd Gough, OT
• Rebecca Graves, CFNP
• GRHS Hospital Pediatricians

• All providers in Lucedale, MS
• Foot & Ankle Surgery Podiatrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.

Verify at the official NPI Registry.