Dorita Jane Blair, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

904645 Issued in MS

Practice address

30 Circle J Dr Ste 1
Laurel, MS 39440-1981

Phone

(601) 425-0092

NPI assigned

Aug 1, 2024

Last updated

Aug 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in MS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Jones Family Medicine Clinic PLLC

  • Primary Care Clinic/Center
  • Laurel, MS
  • NPI 1841385168
  Medicare reassignment NPD
• JFMC Ellisville, LLC

  • Primary Care Clinic/Center
  • Ellisville, MS
  • NPI 1407121338
  NPD
• JFMC Heidelberg, LLC

  • Primary Care Clinic/Center
  • Heidelberg, MS
  • NPI 1083074959
  NPD

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1992535371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CIRCLE J DR STE 1",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394401981",
            "telephone_number": "601-425-0092",
            "fax_number": "601-425-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CIRCLE J DR STE 1",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394401981",
            "telephone_number": "601-425-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "DORITA",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kunal Bhatia
• Erica T Bishop, LPN
• Kelly Bisnette, R N
• David S Black, CMHT
• Blackwell Nursing Services LLC
• Thomas Harold Blake Jr., M.D.
• Danielle D. Blakeney, M. D.
• Lacey Blakeney, NP-C
• Ramsi D Blankenship, DO
• Blue Dot Medical, LLC (AdaptHealth)

• Family Nurse Practitioner in Laurel, MS
• Providers in Laurel, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.