MR. BLAINE JOSPEH WALSH (NPI# 1598232951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598232951 |
| Entity Type | Individual |
| Full Name | MR. BLAINE JOSPEH WALSH |
| Credential | PA-C |
| Practice Address |
275 Collier Rd Nw Ste 300 Atlanta GA 30309-1740 |
| Mailing Address |
2727 Paces Ferry Rd Se Ste 1-1100 Atlanta GA 30339-6151 |
| Practice Telephone | 4043500009 |
| Mailing Telephone | 4702713418 |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2019-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
009088 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
275 COLLIER RD NW STE 300 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30309-1740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922025899 | Kanniammal Ramasamy | Nurse Practitioner | 275 Collier Rd Nw Ste 300, Atlanta, GA 30309-1740 | 2006-07-16 |
| 1609499334 | Daniel Bryant Coursey | Physician Assistant | 275 Collier Rd Nw Ste 300, Atlanta, GA 30309-1740 | 2020-05-28 |
| 1699394106 | Alicia Lynn Duval | Physician Assistant | 275 Collier Rd Nw Ste 300, Atlanta, GA 30309-1740 | 2020-04-14 |
| 1942793427 | Lauren Nicole Terrell | Physician Assistant | 275 Collier Rd Nw Ste 300, Atlanta, GA 30309-1740 | 2018-06-11 |
| 1851882260 | Kathryn Elizabeth Leviner | Physician Assistant | 275 Collier Rd Nw Ste 300, Atlanta, GA 30309 | 2018-05-21 |
| 1174013890 | Grace Higgins | Physician Assistant | 275 Collier Rd Nw Ste 300, Atlanta, GA 30309 | 2018-05-17 |
| 1578084620 | Lauren Marie Chisholm | Physician Assistant | 275 Collier Rd Nw Ste 300, Atlanta, GA 30309-1740 | 2017-06-29 |
| 1912359647 | Deirdre Zimmerman | Physician Assistant | 275 Collier Rd Nw Ste 300, Atlanta, GA 30309-1740 | 2016-07-06 |
| 1194079756 | Sarah Elizabeth Craven | Physician Assistant | 275 Collier Rd Nw Ste 300, Atlanta, GA 30309-1740 | 2012-11-05 |
| 1952661969 | James Woojong Chang | Internal Medicine | 275 Collier Rd Nw Ste 300, Atlanta, GA 30309 | 2012-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382354 | Astoria Dentistry LLC | Dentist | 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 | 2019-12-09 |
| 1487133740 | S2 Telehealth Technologies, LLC | Psychiatry & Neurology | 915 W Peachtree St Nw Apt 522, Atlanta, GA 30309 | 2018-08-08 |
| 1841782620 | Janie Mardis | Social Worker | 3 Park Ln Ne, Apt H, Atlanta, GA 30309 | 2018-06-06 |
| 1083102842 | Veronica L Bentley | Specialist/Technologist, Other | 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 | 2018-04-27 |
| 1427566363 | Net Medical Corp | Chiropractor | 1100 Spring St Sw, Ste#700, Atlanta, GA 30309 | 2018-01-12 |
| 1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
| 1306377817 | Aliyah Lamis Scott | Social Worker | 1745 Peachtree Road Ne, Kaiser Permanente Brookwood Medical Office, Atlanta, GA 30309 | 2017-03-26 |
| 1013450774 | Caroline Hallen | Nurse Practitioner | 105 Collier Rd Nw Suite 3040, Atlanta, GA 30309 | 2016-11-29 |
| 1528501723 | Ant-aging Queen | Nutritionist | 1801 Atlanta Medical Clinic, Suite 250, Atlanta, GA 30309 | 2016-11-21 |
| 1790231439 | Nurse 2 Health Home Care LLC | Home Health | 1075 Peachtree Street Ne, Atlanta, GA 30309 | 2016-09-01 |
| Find all providers in zip 30309 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838374 | Erica Elizabeth West | Physician Assistant | 1155 Mount Vernon Hwy Ste 101, Atlanta, GA 30338-5439 | 2020-10-12 |
| 1841851680 | Lauren Price Fogarty | Physician Assistant | 5445 Meridian Marks Rd Ste 430, Atlanta, GA 30342-4755 | 2019-06-24 |
| 1417422916 | Alison Miller | Physician Assistant | 993d Johnson Fy Rd Ne, Atlanta, GA 30342-1602 | 2018-10-10 |
| 1588139414 | Tammy May Luu | Physician Assistant | 1150 Hammond Dr Ste 310, Atlanta, GA 30328-7500 | 2018-10-08 |
| 1104323476 | Cody Weldon Howell | Physician Assistant | 303 Parkway Dr Ne # 404, Atlanta, GA 30312-1212 | 2018-04-12 |
| 1659895373 | Sudhisha Kumari Jala | Physician Assistant | 980 Johnson Ferry Rd Ste 820, Atlanta, GA 30342-1608 | 2017-08-03 |
| 1487178893 | Magdalena Kertscher | Physician Assistant | 105 Collier Rd Nw Ste 2010, Atlanta, GA 30309-1734 | 2017-07-27 |
| 1841738044 | Adrienne Anderson | Physician Assistant | 1800 Howell Mill Rd Nw Ste 450, Atlanta, GA 30318-2508 | 2017-02-08 |
| 1730623802 | Catherine Lynn Johnson | Physician Assistant | 1365 Clifton Rd Ne # C, Atlanta, GA 30322-1013 | 2016-12-08 |
| 1649626938 | Alex Phillip Schultz | Physician Assistant | 476 Wilmer St Ne, Unit 1230, Atlanta, GA 30308-2933 | 2016-05-05 |
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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.