NPI age
9 years
Enumerated 2017-04-10
● Active
Type 1 · Individual
Mary Blalock
Blalock is 1 of 9 family (nurse practitioner) providers in Holly Springs and 1 of 9,050 in Georgia.
Primary specialty
Family (Nurse Practitioner)
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2017-04-10
Source: CMS NPPES provider record
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 9050 active family (nurse practitioner) providers in Georgia.
NPI age
9 years
≈ at median (8 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties
NPI lifetime · 2017 → 2017
2017-04Enumerated in NPPES
2017
2017
Where they practice
Practice location
107 Lake Reserve Way
Holly Springs, GA 301154785
Mailing address
107 Lake Reserve Way
Holly Springs, GA 301154785
Specialties
-
Nurse Practitioner PrimaryCMS NPPES uses NUCC taxonomy code 363LF0000X for provider records classified as Family within Nurse Practitioner. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered, current...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new family (nurse practitioner) provider has been added in Holly Springs in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.