Individual provider Active NPI

Jonathan A Bloch, MD

  • Surgery Physician
  • Blairsville, GA
National Provider Identifier
1982698908
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
68371 Issued in GA
Practice address
191 Deep South Farm Rd
Blairsville, GA 30512-2220
Phone
(706) 781-6950
NPI assigned
Sep 6, 2005
Last updated
May 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 68371 GA Primary

Addresses

Primary practice location

191 Deep South Farm Rd
Blairsville, GA 30512-2220

Mailing address

35 Hospital Rd
Blairsville, GA 30512-3139
Phone (706) 745-2111

Other practice location 1

101 Riverstone Vis
suite 212
Blue Ridge, GA 30513-6648
Phone (706) 946-4253

Other identifiers 2

IdentifierTypeStateIssuer
020049954OtherFLRR MEDICARE
261575400MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jonathanbloch@uniongeneral.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120904000105 GA Practitioner - General Surgery 0446323117
I20240626001480 AK Practitioner - General Surgery 0446323117 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
70.59 of 100Reported as group
Quality
83.37
Promoting interoperability
100
Improvement activities
40
Cost
16.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68371GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Peninsula Hospital, Inc Current Accepting new patients
South Peninsula Hospital, Inc CurrentSince Jun 1, 2024 Accepting new patients
South Peninsula Hospital, Inc. Surgery CurrentSince Jun 1, 2024 Accepting new patients
TMH Physician Associates PLLC Past Accepting new patients
Surgical Consultants of Texas, PA Past Accepting new patients

Locations

4300 Bartlett St
Homer, AK 99603
Phone (907) 235-0369

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/sphosp-0c203fcf
  • Direct secure messaging: jbloch@yourcarecommunity.org
  • Direct secure messaging: jonathan.bloch.1@14977.direct.athenahealth.com
  • Direct secure messaging: jonathanbloch@uniongeneral.cernerdirect.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1982698908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 HOSPITAL RD",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123139",
            "telephone_number": "706-745-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 DEEP SOUTH FARM RD",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305122220",
            "telephone_number": "706-781-6950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Riverstone Vis",
            "address_2": "suite 212",
            "address_purpose": "LOCATION",
            "city": "Blue Ridge",
            "state": "GA",
            "postal_code": "305136648",
            "country_code": "US",
            "telephone_number": "706-946-4253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOCH",
        "first_name": "JONATHAN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "68371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "020049954",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261575400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jonathanbloch@uniongeneral.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Email",
            "address_1": "35 Hospital Rd",
            "city": "Blairsville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305123139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Blairsville, GA

Sources for this page

Verify at the official NPI Registry.