Individual provider Active NPI

John C Blankenship

  • Specialist
  • Athens, GA
National Provider Identifier
1730160177
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
049529 Issued in GA
Practice address
195 King Ave.
Athens, GA 30606
Phone
(706) 543-6261
Fax
(706) 543-7060
NPI assigned
Nov 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 049529 GA Primary

Addresses

Primary practice location

195 King Ave.
Athens, GA 30606

Mailing address

195 King Ave.
Athens, GA 30606
Phone (706) 543-6261

Other identifiers 1

IdentifierTypeStateIssuer
00901931AMedicaidGA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100928001641 GA Practitioner - Urology 8325034911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Group of Athens, P.C.Group PAC ID 1759376239, 6 clinicians

Practice addresses (Care Compare)

2317 Prince Ave
Athens, GA 30606-6030
Phone (706) 543-6261

Hospital & facility affiliations

  • Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074
  • St Mary'S Hospital Hospital, Athens, GA, CCN 110006
  • Ty Cobb Regional Medical Center, LLC Hospital, Lavonia, GA, CCN 110027
  • St Marys Good Samaritan Hospital Hospital, Greensboro, GA, CCN 111329
  • Elbert Memorial Hospital Hospital, Elberton, GA, CCN 111337

Merit-based Incentive Payment System (MIPS)

Final score
93.89 of 100Reported as group
Quality
91.49
Improvement activities
40
Cost
90.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection32
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
049529GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Athena Urology Surgery Center LLC Current Accepting new patients
Urology Group of Athens, P.C. Specialist CurrentSince Jul 1, 2001 Accepting new patients
Urology Surgical Solutions, LLC Specialist PastSince Feb 9, 2025 Accepting new patients

Locations

2317 Prince Ave
Athens, GA 30606
Phone (706) 543-6261

1500 Oglethorpe Ave
Ste 2000
Athens, GA 30606
Phone (706) 548-5488

360 Hawthorne Ln
Athens, GA 30606
Phone (706) 543-6261

195 King Ave
Athens, GA 30606
Phone (706) 543-6261

930 Franklin Springs St
Royston, GA 30662
Phone (706) 246-9729

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.794
  • Direct secure messaging: john.blankenship@ugoa.gadirect.net
  • Direct secure messaging: jblankenship@ugofa.gwaydirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1730160177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 KING AVE.",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30606",
            "telephone_number": "706-543-6261",
            "fax_number": "706-543-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 KING AVE.",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30606",
            "telephone_number": "706-543-6261",
            "fax_number": "706-543-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKENSHIP",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-11",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "049529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00901931A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.