BLAKE AUSTIN HAMPTON (NPI# 1699229617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699229617 |
| Entity Type | Individual |
| Full Name | BLAKE AUSTIN HAMPTON |
| Credential | PT, DPT, CSCS |
| Practice Address |
1755 Highway 34 E Newnan GA 30265-5631 |
| Practice Telephone | 7702547850 |
| Practice Fax Number | 7702541394 |
| Mailing Telephone | 7702547850 |
| Mailing Fax Number | 7702541394 |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251S0007X |
Physical Therapist Specialization: Sports |
PT012527 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT012527 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831682962 | Blake Maxwell Hampton | Student in an Organized Health Care Education/Training Program | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4668 | 2018-06-13 |
| Street Address |
1755 HIGHWAY 34 E |
| City | NEWNAN |
| State | GA |
| Zip Code | 30265-5631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235111428 | Bennie Joe Mullins Jr. | Nurse Anesthetist, Certified Registered | 1755 Highway 34 E, Suite 1100, Newnan, GA 30265-5631 | 2005-11-15 |
| 1518572874 | Kaitlyn Mariel Ogden | Nurse Anesthetist, Certified Registered | 1755 Highway 34 E, Newnan, GA 30265-5631 | 2020-09-14 |
| 1336753805 | Lindsay Marie Dixon | Nurse Anesthetist, Certified Registered | 1755 Highway 34 E, Newnan, GA 30265-5631 | 2020-09-02 |
| 1518483411 | Jennifer Marie Tyra | Physical Therapist | 1755 Highway 34 E, Ste 1300, Newnan, GA 30265-3186 | 2017-08-22 |
| 1871018531 | Stephen Daniel Breckenridge | Physical Therapist | 1755 Highway 34 E, Newnan, GA 30265-5631 | 2017-08-03 |
| 1154782647 | Karen Martin | Physical Therapy Assistant | 1755 Highway 34 E, Newnan, GA 30265-5631 | 2016-03-11 |
| 1134505910 | Jordan Elizabeth Fowler | Specialist/Technologist | 1755 Highway 34 E, Newnan, GA 30265-5631 | 2015-08-04 |
| 1578947768 | Lee Davis | Physician Assistant | 1755 Highway 34 E, Suite 2200, Newnan, GA 30265-5631 | 2015-07-17 |
| 1487955373 | James Russell Smith | Physician Assistant | 1755 Highway 34 E, Ste 2200, Georgia Bone and Joint, Newnan, GA 30265-5631 | 2010-11-08 |
| 1023326329 | Jared R Shafer | Physician Assistant | 1755 Highway 34 E, Suite 2200, Newnan, GA 30265-5631 | 2010-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041537 | Shiva Bazargan | Pharmacist | 3116 Sr 34 West, Newnan, GA 30265 | 2020-07-23 |
| 1992322549 | Doctorsbeyond Inc. | Clinic/Center | 277 Skyview Court, Newnan, GA 30265 | 2020-06-30 |
| 1225652936 | Jerrica Conyers | Nurse Practitioner | 1635 Highwat 34 East Suite C, Newnan, GA 30265 | 2020-05-29 |
| 1982234688 | Morgan Elizabeth Bross | Physician Assistant | 1825 Ga- 34, Newnan, GA 30265 | 2020-01-22 |
| 1013553379 | Hopebridge LLC | Behavior Technician | 2147 Newnan Crossing Boulevard East, Newnan, GA 30265 | 2019-11-21 |
| 1518528116 | Stepping Stones Psychiatric Care LLC | Nurse Practitioner | 3025 Sharpsburg Mccullum Rd, Building B Suite 103, Newnan, GA 30265 | 2019-06-25 |
| 1356823363 | Stephen William Jacon | Specialist/Technologist | 29 Muirfield Court, Newnan, GA 30265 | 2018-09-05 |
| 1881176832 | Blueprint Psychiatry, LLC | Psychiatry & Neurology | 1601 Highway 34 E Ste A, Newnan, GA 30265 | 2018-09-05 |
| 1548790769 | Timothy Collins | Physical Therapist | 1755 Ga-34, Suite 1300, Rehab Department, Newnan, GA 30265 | 2017-06-20 |
| 1497289748 | Edible Health & Wellness,llc | Clinic/Center | 90f Glenda Trace Pmb 318, Newnan, GA 30265 | 2017-04-13 |
| Find all providers in zip 30265 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184857096 | Shannon Lynne Cleveland | Physical Therapist | 414 Long Shore Way, Newnan, GA 30265-6115 | 2009-08-25 |
| 1477577484 | Antonio T. Davis | Physical Therapist | 354 Newnan Crossing Byp, Suite 200, Newnan, GA 30265-2323 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100479 | Production Physicos,llc | Physical Therapist | 461 Sandy Creek Rd Ste 1102, Fayetteville, GA 30214-4284 | 2020-09-28 |
| 1710593819 | David Spellings | Physical Therapist | 3991 Us-78, Suite 200, Snellville, GA 30039 | 2020-09-23 |
| 1841801644 | Noah Konner Lindsey | Physical Therapist | 5270 Peachtree Pkwy Ste 116, Norcross, GA 30092-2558 | 2020-08-14 |
| 1942810106 | Caitlin M Hesse | Physical Therapist | 4480 S Cobb Dr Se Ste Y, Smyrna, GA 30080-6984 | 2020-08-03 |
| 1669007316 | Dynamic Swing Performance, LLC | Physical Therapist | 2031 Cobblestone Cir Ne, Brookhaven, GA 30319-4909 | 2020-03-03 |
| 1356810113 | Ryan Daniel Ahlenius | Physical Therapist | 6360 Dove Dr, Loganville, GA 30052-3031 | 2018-11-21 |
| 1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
| 1700363686 | Jason Y Kawamura | Physical Therapist | 2300 Liam Ave Ste 103, Dacula, GA 30019-2265 | 2018-07-24 |
| 1649766528 | Carrie Elizabeth Dendtler | Physical Therapist | 320 Montgomery Ave, Alpharetta, GA 30004-3163 | 2018-07-03 |
| 1558853085 | Re Generate Physiotherapy, LLC | Physical Therapist | 1240 Ga-54, Building 700, Fayetteville, GA 30214 | 2018-05-31 |
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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.