P Praxis·MD
● Active Type 1 · Individual

Robert Steven Blackwelder

Nurse Practitioner·Augusta, GA· NPI 1558993576 · Enumerated 2020 · 6 years on NPI
Blackwelder is 1 of 50 nurse practitioner providers in Augusta and 1 of 950 in Georgia.
NPI age
6 years
Enumerated 2020-02-07
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 950 active nurse practitioner providers in Georgia.

NPI age
6 years
≈ at median (6 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 36% of peers with subspecialties

NPI lifetime · 2020 → 2026

2020-02Enumerated in NPPES
2020 2026

Where they practice

Practice location
3623 J Dewey Gray Cir Ste 202
Augusta, GA 309096554
📞 7068638181
Mailing address
1120 15th St
Augusta, GA 309120004
📞 7067214951

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN249545 taxonomy 363LA2100X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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