Evan Mitchell Bloom, DNP, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN-NP312467 Issued in GA

Practice address

20 Salbide Ave
Newnan, GA 30263-2501

Phone

(678) 877-6951

NPI assigned

Jul 25, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1784937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784937600000",
    "number": "1740102573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SALBIDE AVE",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302632501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SALBIDE AVE",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302632501",
            "telephone_number": "678-877-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "EVAN",
        "middle_name": "MITCHELL",
        "credential": "DNP, APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-07-25",
        "last_updated": "2026-07-25",
        "certification_date": "2026-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "APRN-NP312467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaina Lee Blanchard, NP
• Eric Austin Blanton, RPH
• John Emil Blogg, CRNA
• Kellie Michelle Blogg, CRNA
• Jennifer Blondeau, M.ED, LPC, NCC
• Madison Blose, RBT
• Katie Blount
• Blueprint Psychiatry, LLC
• Blueprint TMS& Wellness Centers of America
• Jennifer Alice Boateng

• Psychiatric/Mental Health Nurse Practitioner in Newnan, GA
• Providers in Newnan, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2026; 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.