DR. BREE ELLESSE BLACKWELL (AUD) – Audiologist-Hearing Aid Fitter, NPI 1235610932

DR. BREE ELLESSE BLACKWELL (AUD) is a healthcare provider. based in Savannah, Georgia. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD. They hold a License No. AUD004144 (GA). The NPI Number for DR. BREE ELLESSE BLACKWELL (AUD) is 1235610932

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. BREE ELLESSE BLACKWELL (AUD)
NPI
1235610932
Phone
(912) 352-8530
Address
527 STEPHENSON AVE
Enumeration Date
22 August 2018
Last Update Date
22 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9017555300
Graduation Year
2018 (8 years ago)
PAC ID
7416297130
Group Practice PAC ID
3779568092
Professional Enrollment ID
I20200623003317
Address ID
TN381381788GE7600XBLVD402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

263 QUALIFIED AUDIOLOGIST in GA

Provider Addresses for DR. BREE ELLESSE BLACKWELL (AUD)

  • 527, Stephenson Avenue, Highland Park, Savannah, Chatham County, Georgia, 31405, United States

    SAVANNAH, GA 314055923

    Phone: (912) 352-8530

    Type: Mailing

  • 527 STEPHENSON AVE UNIT A-3

    SAVANNAH, GA 314055923

    Phone: (912) 352-8530

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-06-23

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
I20200623003317IQualified AudiologistTNTBD

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
92567Test to assess middle ear function373358$0
92552Test for hearing various pitches using earphone284242$0
92556Test for ability to detect and repeat spoken words with speech recognition283240$0
92557Comprehensive hearing and speech recognition test243243$0
92584Test to assess electrical potentials generated in the inner ear as a result of sound stimulation1818$0
View full utilization report →

Insurance plans in this area (ZIP 31405)

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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: 3779568092View full group profile
NameSpecialtyState
Nurse PractitionerTN
Nurse PractitionerMS
Nurse PractitionerTN
Nurse PractitionerTN
Qualified AudiologistTN
Qualified AudiologistTN
Qualified AudiologistTN
O T O L A R Y N G O L O G YTX
Nurse PractitionerTN
O T O L A R Y N G O L O G YTN

Reviews

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Frequently asked questions

What NPI should I save for DR. BREE ELLESSE BLACKWELL (AUD)?
Save NPI 1235610932 if you need a stable reference for DR. BREE ELLESSE BLACKWELL (AUD).
Is DR. BREE ELLESSE BLACKWELL (AUD)'s NPI currently valid?
The extract we use shows DR. BREE ELLESSE BLACKWELL (AUD) as active.
What kind of provider is DR. BREE ELLESSE BLACKWELL (AUD)?
The page reflects Audiologist-Hearing Aid Fitter for DR. BREE ELLESSE BLACKWELL (AUD). Clinical services aligned with this taxonomy classification.
Where is DR. BREE ELLESSE BLACKWELL (AUD)'s primary listing?
We display Savannah, Georgia because that is what the record indicates for DR. BREE ELLESSE BLACKWELL (AUD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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