Active NPI
Blair Wente Schrepel, P.A.-C
- Medical Physician Assistant
- Savannah, GA
National Provider Identifier
1770914327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 6965
- Practice address
- 639A Stephenson Ave
Savannah, GA 31405-5970 - Phone
- (912) 354-7124
- Fax
- (912) 353-8944
- NPI assigned
- Dec 9, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 006965 | GA | |
| Medical Physician Assistant | 363AM0700X | 6965 | GA | Primary |
Addresses
Primary practice location
639A Stephenson Ave
Savannah, GA 31405-5970
Mailing address
639A Stephenson Ave
Savannah, GA 31405-5970
Phone (912) 354-7124
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
- Physician Assistant
- Education
- Medical University of South Carolina College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Towne Ctr Blvd
Suite 900B
Pooler, GA 31322-4052
Phone (912) 354-7124
21 Tidewater Way
Savannah, GA 31411-2101
Phone (912) 604-9519
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006965 | GA | MD | Medical Physician Assistant |
| 6965 | GA | MD | Medical Physician Assistant |
Organizations & group practices 1
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.
-
- Dermatology Physician
- Savannah, GA
- NPI 1083709844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428364800000",
"number": "1770914327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "639A STEPHENSON AVE",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314055970",
"telephone_number": "912-354-7124",
"fax_number": "912-353-8944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "639A STEPHENSON AVE",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314055970",
"telephone_number": "912-354-7124",
"fax_number": "912-353-8944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHREPEL",
"first_name": "BLAIR",
"middle_name": "WENTE",
"name_prefix": "Mrs.",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-09",
"last_updated": "2015-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "006965",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "6965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.