Active NPI
Joel Gregory Blasche, NP
- Family Nurse Practitioner
- Dallas, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN149466
- Practice address
- 170 Parkmont CT
Dallas, GA 30132-1126 - Phone
- (478) 319-1831
- NPI assigned
- Feb 2, 2017
- Last updated
- Feb 2, 2017
- Sex
- Male
- 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 | RN149466 | GA | Primary |
Addresses
Primary practice location
170 Parkmont CT
Dallas, GA 30132-1126
Mailing address
170 Parkmont CT
Dallas, GA 30132-1126
Phone (478) 319-1831
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1120 Morningside Dr
Perry, GA 31069-2906
Phone (478) 987-3600
777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 99.18
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN149466 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston County Emergency Group, LLC | Current | Accepting new patients | |
| Houston County Emergency Group, LLC | Current | Accepting new patients | |
| Central Georgia Emergency Group, LLC | Current | Accepting new patients | |
| Georgia Emergency Group, LLC | Current | Accepting new patients |
Locations
601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721
777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600
1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706
1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- jthompson446906@carolinashealthcaresystem.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Macon, GA
- NPI 1598126641
-
- Emergency Medicine Physician
- Warner Robins, GA
- NPI 1013338193
-
- Emergency Medicine Physician
- Griffin, GA
- NPI 1952746638
-
- Emergency Medicine Physician
- Perry, GA
- NPI 1467873547
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atrium Health Navicent The Medical Center
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485993600000",
"number": "1720526346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 PARKMONT CT",
"city": "DALLAS",
"state": "GA",
"postal_code": "301321126",
"telephone_number": "478-319-1831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 PARKMONT CT",
"city": "DALLAS",
"state": "GA",
"postal_code": "301321126",
"telephone_number": "478-319-1831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLASCHE",
"first_name": "JOEL",
"middle_name": "GREGORY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-02",
"last_updated": "2017-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN149466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, GA
- Bio-Medical Applications of Georgia, Inc. (Fresenius Kidney Care Dallas)
- Erin Black
- Richard Michael Blackman
- Sibilla Kay Blair, FNP-C
- Katherine Anne Blake
- Blue Ridge Care Center LLC (Paulding Nursing & Rehabilitation)
- Bluesprig Pediatrics
- Welthalyn Bogar
- Novella Sherrain Bolden, MASTER'S OF SOCIAL
- Mario Bolivar Jr., LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.