Active NPI
Bliss Family Medicine LLC
- Nurse Practitioner
- Tucker, GA
National Provider Identifier
1841177631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- BLISS FAMILY MEDICINE LLC
- Practice address
- 1974 Montreal Rd
Tucker, GA 30084-5217 - Phone
- (678) 243-5021
- Fax
- (678) 243-5020
- NPI assigned
- Aug 21, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rajesh Bhatia
- Title
- Practice Manager
- Phone
- (678) 243-5021
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
1974 Montreal Rd
Tucker, GA 30084-5217
Mailing address
1974 Montreal Rd
Tucker, GA 30084-5217
Phone (678) 243-5021
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2321961 | Bliss Family Medicine | Certificate of waiver | Apr 13, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Bliss Family Medicine
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nurse Practitioner
- Duluth, GA
- NPI 1255108502
Locations
1974 Montreal Rd
Tucker, GA 30084
Phone (678) 243-5021
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Duluth, GA
- NPI 1376022434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755734400000",
"number": "1841177631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1974 MONTREAL RD",
"city": "TUCKER",
"state": "GA",
"postal_code": "300845217",
"telephone_number": "678-243-5021",
"fax_number": "678-243-5020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1974 MONTREAL RD",
"city": "TUCKER",
"state": "GA",
"postal_code": "300845217",
"telephone_number": "678-243-5021",
"fax_number": "678-243-5020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLISS FAMILY MEDICINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-21",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A",
"authorized_official_last_name": "BHATIA",
"authorized_official_first_name": "RAJESH",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "678-243-5021"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.