MR. ROBERT DEE BLEDSOE (NPI# 1063730356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063730356 |
| Entity Type | Individual |
| Full Name | MR. ROBERT DEE BLEDSOE |
| Credential | RN, CNS, CWCN, CDE |
| Practice Address |
1 Freedom Way Augusta GA 30904-6258 |
| Practice Telephone | 7067330188 |
| Practice Fax Number | 7068233960 |
| Mailing Telephone | 7067330188 |
| Mailing Fax Number | 7068233960 |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2010-05-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WW0000X |
Registered Nurse Specialization: Wound Care |
RN104658 | GA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 16 | RN104658 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396817409 | Robert Chandler Bledsoe | Specialist | 1600 W College St Ste 380, Grapevine, TX 76051-3583 | 2006-11-14 |
| 1245219831 | Robert E Bledsoe Jr. | Specialist | 817 Cook Dr, Athens, TN 37303-3485 | 2006-01-11 |
| Street Address |
1 FREEDOM WAY |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-6258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900713 | Robert Leon Longe | Pharmacist | 1 Freedom Way, Augusta, GA 30904-6258 | 2005-05-24 |
| 1609476951 | Melissa Ann Cotton | Dentist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-27 |
| 1487253217 | Kelsey Shull | Recreation Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-22 |
| 1437758844 | Angela Marie Brown | Social Worker | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-19 |
| 1538767819 | Stephen William Montgomery | Music Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-09 |
| 1134726631 | Rebecca Leigh Halioua | Recreation Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-07 |
| 1104435718 | Vincent Michael Fitch | Psychologist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-07-29 |
| 1558988162 | Amanda Draheim | Psychologist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-30 |
| 1174140784 | Tiffany Ariel Graves | Student in an Organized Health Care Education/Training Program | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-30 |
| 1982221776 | Janice J Anglin | Dietitian, Registered | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| Taxonomy Code | 163WW0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Wound Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196305 | Madeleine Beal | Registered Nurse | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2017-07-14 |
| 1427377316 | Martha Johnson | Registered Nurse | 1 Freedom Way, Augusta, GA 30904-6258 | 2010-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053959783 | Jill Robinson Danahy | Registered Nurse | 76 Crystal Lake Dr, Savannah, GA 31407-3531 | 2019-12-12 |
| 1265099816 | Francis Healthcare Solutions | Registered Nurse | 2039 Reserve Pkwy, Mcdonough, GA 30253-7435 | 2019-05-20 |
| 1184038275 | Danielle King Coody | Registered Nurse | 1225 Ga Highway 278, Montrose, GA 31065-4112 | 2014-06-17 |
| 1720259690 | Circle of Care Health Care Inc | Registered Nurse | 5857 Village Loop, Fairburn, GA 30213 | 2008-03-18 |
| 1568006534 | Courtney Brue | Registered Nurse | 5353 Reynolds St, Savannah, GA 31405-6015 | 2019-11-03 |
| 1215365499 | Johannes Kepler Beard | Registered Nurse | 550 Peachtree St., Select Specialty Hospital, Atlanta, GA 30308-2232 | 2013-10-24 |
| 1821372236 | Constance Bailey Knowles | Registered Nurse | 1005 Boulder Dr, Gray, GA 31032 | 2011-10-04 |
| 1437470507 | Masoumeh Ghaffari | Registered Nurse | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2010-06-11 |
| 1073757472 | James Ronald Stephens | Registered Nurse | 1505 Northside Blvd, Suite 1300, Cumming, GA 30041-7623 | 2009-04-29 |
| 1013069715 | Rhonda Kim Lee | Registered Nurse | 677 Church St Ne, Marietta, GA 30060-1101 | 2007-01-16 |
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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.