Individual provider Active NPI

Donl F Blevins II, DNP, FNP-BC

  • Nurse Practitioner
  • Mount Airy, NC
National Provider Identifier
1972266070
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5015265 Issued in NC
Practice address
119 Welch Rd Ste a
Mount Airy, NC 27030-5274
Phone
(336) 719-7200
Fax
(336) 786-3737
NPI assigned
Oct 16, 2021
Last updated
Apr 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5015265 NC Primary
Registered Nurse 163W00000X 268646 NC

Addresses

Primary practice location

119 Welch Rd Ste a
Mount Airy, NC 27030-5274

Mailing address

119 Welch Rd Ste a
Mount Airy, NC 27030-5274
Phone (336) 719-7200

Other practice location 1

2133 Rockford St Ste 1400
Mount Airy, NC 27030-6594
Phone (336) 673-6560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211222000651 NC Practitioner - Nurse Practitioner 4981095221 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

119 Welch Rd
Suite a
Mount Airy, NC 27030-5274
Phone (336) 719-7200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
268646NCMDRegistered Nurse
5015265NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Hospital of Surry County CurrentSince Sep 15, 2024 Accepting new patients
Northern Hospital of Surry County Current Accepting new patients
Northern Hospital of Surry County CurrentSince Sep 15, 2024 Accepting new patients
Northern Hospital District of Surry County CurrentSince Apr 11, 2023 Accepting new patients
Northern Hospital District of Surry County CurrentSince Apr 11, 2023 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Aug 17, 2024 Accepting new patients
Northern Hospital District of Surry County PastSince Apr 6, 2021 Accepting new patients

Locations

105 N Crutchfield St
Dobson, NC 27017
Phone (336) 783-8100

1016 S South St
Mount Airy, NC 27030
Phone (336) 783-8900

119 Welch Rd
Ste A
Mount Airy, NC 27030
Phone (336) 719-6200

423 S South St
Mount Airy, NC 27030
Phone (336) 786-5144

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1634342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1972266070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 WELCH RD STE A",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270305274",
            "telephone_number": "336-719-7200",
            "fax_number": "336-786-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 WELCH RD STE A",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270305274",
            "telephone_number": "336-719-7200",
            "fax_number": "336-786-3737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2133 Rockford St Ste 1400",
            "address_purpose": "LOCATION",
            "city": "Mount Airy",
            "state": "NC",
            "postal_code": "270306594",
            "country_code": "US",
            "telephone_number": "336-673-6560",
            "fax_number": "336-719-0494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLEVINS",
        "first_name": "DONL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-16",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5015265",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "268646",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, NC

Sources for this page

Verify at the official NPI Registry.