JAMIE RIVKIN BLALOCK (MS, APRN, FNP-C) – Family Nurse Practitioner, NPI 1073875902

JAMIE RIVKIN BLALOCK (MS, APRN, FNP-C) is a healthcare provider. based in Blairsville, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials MS, APRN, FNP-C. They hold a License No. RN149435 (GA). The NPI Number for JAMIE RIVKIN BLALOCK (MS, APRN, FNP-C) is 1073875902

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
JAMIE RIVKIN BLALOCK (MS, APRN, FNP-C)
NPI
1073875902
Phone
(706) 745-8790
Address
15 EARNEST DR
Enumeration Date
15 June 2012
Last Update Date
20 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704604285
Graduation Year
2009 (17 years ago)
PAC ID
5991954745
Group Practice PAC ID
4284951542
Professional Enrollment ID
I20121011000246
Address ID
GA302147663FA101XXDRXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for JAMIE RIVKIN BLALOCK (MS, APRN, FNP-C)

  • 15 EARNEST DR

    BLAIRSVILLE, GA 305128627

    Phone: (706) 745-8790

    Type: Location

  • 35 Hospital Road

    Suite B

    Blairsville, GA 30512

    Phone: (706) 745-2111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Lilly USA, LLC ($17).

Total Amount

$48

General + Research + Ownership

Payments

3

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-10-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121011000246INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes262232$0
87804Detection test by immunoassay with direct visual observation for influenza virus12662$0
99204New patient office or other outpatient visit, 45-59 minutes116116$0
81002Urinalysis, manual test7771$0
J2001Injection, lidocaine hcl for intravenous infusion, 10 mg6229$0
View full utilization report →

Insurance plans in this area (ZIP 30512)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284951542View full group profile
NameSpecialtyState
Nurse PractitionerGA
-GA
Nurse PractitionerGA
Diagnostic RadiologyGA
Internal MedicineGA
Internal Medicine, Allergy/ImmunologyGA
General PracticeGA
Nurse PractitionerGA
Internal MedicineGA
Physician AssistantGA

Reviews

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Frequently asked questions

How do I look up JAMIE RIVKIN BLALOCK (MS, APRN, FNP-C) by NPI?
Use NPI 1073875902 when you need to reference JAMIE RIVKIN BLALOCK (MS, APRN, FNP-C) in forms, claims, or directories.
Is JAMIE RIVKIN BLALOCK (MS, APRN, FNP-C)'s NPI currently valid?
The extract we use shows JAMIE RIVKIN BLALOCK (MS, APRN, FNP-C) as active.
Can you summarize JAMIE RIVKIN BLALOCK (MS, APRN, FNP-C)'s specialty in plain language?
Clinically, the directory lists JAMIE RIVKIN BLALOCK (MS, APRN, FNP-C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is JAMIE RIVKIN BLALOCK (MS, APRN, FNP-C)'s primary listing?
We display Blairsville, Georgia because that is what the record indicates for JAMIE RIVKIN BLALOCK (MS, APRN, FNP-C).
Is JAMIE RIVKIN BLALOCK (MS, APRN, FNP-C) a real provider?
This page reflects official NPPES data for NPI 1073875902. Always confirm identity and privileges with the practice and licensing boards.

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