JAIMIE LYNN BLACKWELL (FNP) – Family Nurse Practitioner, NPI 1477275410

JAIMIE LYNN BLACKWELL (FNP) is a healthcare provider. based in Milledgeville, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. F09220351 (GA). The NPI Number for JAIMIE LYNN BLACKWELL (FNP) is 1477275410

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
JAIMIE LYNN BLACKWELL (FNP)
NPI
1477275410
Phone
(478) 456-9759
Address
207 ADMIRALTY WAY NW
Enumeration Date
15 September 2022
Last Update Date
5 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4784543500
Graduation Year
2018 (8 years ago)
PAC ID
0446629844
Group Practice PAC ID
7012208408
Professional Enrollment ID
I20221207000160
Address ID
GA310612343MI821XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for JAIMIE LYNN BLACKWELL (FNP)

  • 207 ADMIRALTY WAY NW

    MILLEDGEVILLE, GA 310619471

    Phone: (478) 456-9759

    Type: Mailing

  • 821 N COBB ST

    MILLEDGEVILLE, GA 310612343

    Phone: (478) 776-4000

    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: 2022-12-07

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
I20221207000160INurse 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
99284Emergency department visit with moderate level of medical decision making7975$0
99285Emergency department visit with high level of medical decision making5958$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1514$0
View full utilization report →

Insurance plans in this area (ZIP 31061)

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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: 7012208408View full group profile
NameSpecialtyState
-GA
Emergency MedicineFL
Emergency MedicineGA
Emergency MedicineGA
Nurse PractitionerGA
Physician AssistantGA
Emergency MedicineGA
Family Practice, Emergency Medicine, Internal MedicineGA

Reviews

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Frequently asked questions

How do I look up JAIMIE LYNN BLACKWELL (FNP) by NPI?
Use NPI 1477275410 when you need to reference JAIMIE LYNN BLACKWELL (FNP) in forms, claims, or directories.
Is JAIMIE LYNN BLACKWELL (FNP) currently active in the NPI registry?
CMS-published data lists JAIMIE LYNN BLACKWELL (FNP) as an active registrant.
What field does JAIMIE LYNN BLACKWELL (FNP) work in?
You can think of JAIMIE LYNN BLACKWELL (FNP) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for JAIMIE LYNN BLACKWELL (FNP)?
The page summarizes Milledgeville, Georgia for JAIMIE LYNN BLACKWELL (FNP); expand the address list for detail.
Is JAIMIE LYNN BLACKWELL (FNP) a real provider?
This page reflects official NPPES data for NPI 1477275410. Always confirm identity and privileges with the practice and licensing boards.

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