JEREMIAH GEORGE BLAIR (NPI# 1922640739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922640739 |
| Entity Type | Individual |
| Full Name | JEREMIAH GEORGE BLAIR |
| Credential | PA |
| Practice Address |
61 Whitcher St Suite 2100 Marietta GA 30060 |
| Mailing Address |
100 Stoneforest Dr Ste 130 Woodstock GA 30189-4881 |
| Practice Telephone | 7704230595 |
| Practice Fax Number | 6783915055 |
| Mailing Telephone | 7704230595 |
| Mailing Fax Number | 6783881627 |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2020-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215269121 | Jeremiah J Blair | Community Health Worker | 3100 Channel Dr # 314, Juneau, AK 99801-7837 | 2010-02-02 |
| Street Address |
61 WHITCHER ST SUITE 2100 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| 1447727094 | Klara Lisy | Physician Assistant | 711 Canton Road, Suite 300, Marietta, GA 30060 | 2018-10-31 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164969192 | Henry Payton | Physician Assistant | 1001 Burnt Hickory Rd Nw, Apt 231, Marietta, GA 30064-1368 | 2017-01-29 |
| 1588087944 | William Dalton | Physician Assistant | 4455 Lower Roswell Rd, 684121, Marietta, GA 30068-0149 | 2014-01-21 |
| 1205277043 | Carmeceia Lavonde Dowdell | Physician Assistant | 626 Pecan Knoll Dr, Marietta, GA 30008-3102 | 2013-07-09 |
| 1275895963 | La Tosha Eugena Walker | Physician Assistant | 409 Bloombridge Way Nw, Marietta, GA 30066-3486 | 2012-06-09 |
| 1306008032 | Marlys Joel | Physician Assistant | 4084 Audubon Dr, Marietta, GA 30068-2605 | 2008-06-25 |
| 1659531945 | Michelle Yvonne Larue | Physician Assistant | 4653 Pond Ln, Marietta, GA 30062-5618 | 2008-06-11 |
| 1467640649 | Wendy Kae Jetton | Physician Assistant | 915 Randall Ct Nw, Marietta, GA 30064-4724 | 2007-10-12 |
| 1154446433 | Rhonda Kay Thompson Herring | Physician Assistant | 800 Kennesaw Ave Nw Ste 120, Marietta, GA 30060 | 2007-03-19 |
| 1508918475 | Aneeta Anderson | Physician Assistant | 4488 Pine Hill Ter Ne, Marietta, GA 30066-2419 | 2007-01-18 |
| 1851464820 | Margarita Lucia Strickland | Physician Assistant | 2306 Winterset Pkwy Se, Marietta, GA 30067-6548 | 2006-11-16 |
| Find all providers in MARIETTA | ||||
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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.