DR. JAMES C BLACKWELL (NPI# 1063410694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063410694 |
| Entity Type | Individual |
| Full Name | DR. JAMES C BLACKWELL |
| Credential | M.D. |
| Practice Address |
1200 Memorial Dr Dalton GA 30720-2529 |
| Mailing Address |
1107 Memorial Dr Suite 300 Dalton GA 30720-8662 |
| Practice Telephone | 7062172207 |
| Mailing Telephone | 7062263139 |
| Mailing Fax Number | 7062786606 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 17132 | GA | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 017132 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00132712C | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1107 Memorial Dr, Suite 300, Dalton, GA 307208662 | 7062263139 | 7062786606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255424289 | James A. Blackwell | Internal Medicine | 154 Arapaho Cir, San Ramon, CA 94583-2498 | 2006-10-02 |
| 1528061140 | James Edward Blackwell | Radiology | 1906 Belleview, Roanoke, VA 24033 | 2005-05-27 |
| 1114446671 | James Luke Blackwell | Social Worker | 1225 Oakdale Rd, Modesto, CA 95355-3357 | 2017-09-15 |
| 1720531577 | James Madison Blackwell | Physical Therapist | 3480 Keith Bridge Rd, Ste C2, Cumming, GA 30041-5568 | 2016-07-28 |
| 1376711945 | James L Blackwell | Family Medicine | 3016 Great Teays Blvd, Scott Depot, WV 25560-9552 | 2008-02-15 |
| 1215023932 | James T Blackwell | Pediatrics | 5515 W 38th St, Indianapolis, IN 46254-2919 | 2006-10-04 |
| 1871516997 | James Blackwell | Internal Medicine | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2006-07-26 |
| 1659337319 | James T Blackwell | Physician Assistant | 450 North St, Bamberg, SC 29003-1318 | 2006-04-21 |
| 1427036672 | James Blackwell | Nurse Practitioner | 1000 Blythe Blvd, Cmc Annex 1st Floor, Charlotte, NC 28203-5812 | 2006-01-06 |
| 1770572224 | James Britt Blackwell | Optometrist | 1268 Ebenezer Rd, Rock Hill, SC 29732-2341 | 2005-10-18 |
| Street Address |
1200 MEMORIAL DR |
| City | DALTON |
| State | GA |
| Zip Code | 30720-2529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710982103 | Paul Crutchfield | Specialist | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2005-06-14 |
| 1891395505 | Molly Van Wert Cooper | Registered Nurse | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2020-10-30 |
| 1922608116 | William Saunders IIi | Nurse Anesthetist, Certified Registered | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2020-10-28 |
| 1114545431 | North Georgia Anesthesia Services PC | Anesthesiology | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2020-07-13 |
| 1326665100 | Lacey Boutwell | Pharmacist | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2020-06-29 |
| 1265061816 | Kiranjit Singh | Student in an Organized Health Care Education/Training Program | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2020-04-06 |
| 1215566864 | Katelyn Amanda Boykin | Student in an Organized Health Care Education/Training Program | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2020-04-06 |
| 1851920409 | Bradley Sackfield | Student in an Organized Health Care Education/Training Program | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2020-04-06 |
| 1619506557 | Kenette St-gourdin | Student in an Organized Health Care Education/Training Program | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2020-04-03 |
| 1699304790 | Tomislav Hrvoje Jagatic | Student in an Organized Health Care Education/Training Program | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2020-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688421 | Nighat Purnima Kabir | Student in an Organized Health Care Education/Training Program | Hamilton Medical Center, Attn: Residency Program, 1200 Memorial Drive, Dalton, GA 30720 | 2020-04-21 |
| 1720620727 | Elizabeth Nicole Gregory | Behavioral Analyst | 1201 Burleyson Rd., Dalton, GA 30720 | 2019-10-10 |
| 1972161768 | Andrea Nicole Henry | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 | 2019-06-05 |
| 1275056905 | Cynthia L Wood | Speech-Language Pathologist | 1011 Professional Blvd., Dalton, GA 30720 | 2017-07-25 |
| 1073069225 | Alyssa Sellers Garner | Nurse Practitioner | 1436 Chattanooga Avenue, Dalton, GA 30720 | 2016-08-28 |
| 1588039077 | Katie Walker | Social Worker | 900 Shugart Road, Dalton, GA 30720 | 2015-12-09 |
| 1215310800 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 98 West Walnut Ave, Dalton, GA 30720 | 2015-07-01 |
| 1275969081 | Stacy Kay Whitehead | Nurse Practitioner | 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 | 2013-09-25 |
| 1821439985 | Chantal Aneka Raheeda Lewis | Internal Medicine | 1109 Burleyson Rd Ste 103, Dalton, GA 30720 | 2013-07-17 |
| 1174960678 | Homestead Hospice of Northwest Georgia, LLC | Hospice Care, Community Based | 1601 Hickory Street, Dalton, GA 30720 | 2013-05-24 |
| Find all providers in zip 30720 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447679808 | Deepu Daniel | Hospitalist | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2014-04-14 |
| 1780818070 | Daniel Richard Zapko | Hospitalist | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2009-05-14 |
| 1417136920 | Christopher Brian Delashmitt | Hospitalist | 1200 Memorial Dr, Hospitalist Department, Dalton, GA 30720-2529 | 2007-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033770771 | Your Hospitalist Team LLC | Hospitalist | 2215 Autumn Ridge Ln, Cumming, GA 30041-1358 | 2019-06-24 |
| 1780194183 | Mobin Shah Inc | Hospitalist | 352 Langshire Dr, Mcdonough, GA 30253-8055 | 2017-10-11 |
| 1972036721 | Getnet Alemu Tioum | Hospitalist | 1267 Pounds Ln, Clarkston, GA 30021-2830 | 2017-04-08 |
| 1720531692 | Zahraa Rabeeah | Hospitalist | 390 17th St Nw Unit 5031, Atlanta, GA 30363-2015 | 2016-07-27 |
| 1245614973 | Donovan Philbrick | Hospitalist | 743 Spring Street, Office of Inpatient Medicine, Gainesville, GA 30501 | 2015-07-13 |
| 1932529732 | Munir Chaudhuri | Hospitalist | 1364 Clifton Road Ne Box M7, Atlanta, GA 30322-1029 | 2014-04-18 |
| 1982979373 | Rianot Amzat | Hospitalist | 5665 Peachtree Dunwoody # Ga, Suite 500, Atlanta, GA 30342-1701 | 2012-03-19 |
| 1780970921 | Christopher Thomas Middendorf | Hospitalist | 1400 River Place, Braselton, GA 30517 | 2011-06-27 |
| 1043528268 | Medcare Physicians of Central Georgia, LLC | Hospitalist | 1040 Founders Row, Ste A, Greensboro, GA 30642-5261 | 2010-09-22 |
| 1619293354 | Aaron D Gluth | Hospitalist | 1364 Clifton Rd Ne Box M-7, Atlanta, GA 30322-1059 | 2010-04-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.