MA LOURDES BLAS MINA (MD) – Obstetrics & Gynecology Physician, NPI 1659558286

MA LOURDES BLAS MINA (MD) is a healthcare provider. based in Macon, Georgia. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 001708 (GA). The NPI Number for MA LOURDES BLAS MINA (MD) is 1659558286

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MA LOURDES BLAS MINA (MD)
NPI
1659558286
Phone
(478) 743-4646
Address
380 HOSPITAL DR
Enumeration Date
25 January 2008
Last Update Date
25 February 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
9638350580
Group Practice PAC ID
2264427228
Professional Enrollment ID
I20110224000675
Address ID
GA312178005Ma380XXDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,266 OBSTETRICS/GYNECOLOGY in GA

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Provider Addresses for MA LOURDES BLAS MINA (MD)

  • 380, Hospital Drive, Macon, Bibb County, Georgia, 31217, United States

    SUITE 100

    MACON, GA 312178001

    Phone: (478) 743-4646

    Fax: (478) 742-5549

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $407.

Total Amount is formed as General ($407) + Research ($0) + Ownership ($0) = $407.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Astellas Pharma US Inc ($173).

Total Amount

$407

General + Research + Ownership

Payments

21

Total payment records

General Amount

$407

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2011-02-24

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
I20110224000675IObstetrics/GynecologyGATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes7046$0
77063Screening 3d breast mammography5555$0
77067Screening mammography5555$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination5151$0
77080Dxa bone density measurement of hip, pelvis, spine2626$0
View full utilization report →

Insurance plans in this area (ZIP 31217)

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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: 2264427228View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YGA
-GA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YLA
-GA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA

Reviews

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Frequently asked questions

What federal number belongs to MA LOURDES BLAS MINA (MD)?
The federal identifier for MA LOURDES BLAS MINA (MD) is NPI 1659558286.
Does this profile mean MA LOURDES BLAS MINA (MD) is currently active?
Yes — MA LOURDES BLAS MINA (MD) appears active in the national provider directory.
What does MA LOURDES BLAS MINA (MD) treat or focus on?
Patients typically see MA LOURDES BLAS MINA (MD) under the specialty Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place MA LOURDES BLAS MINA (MD)?
The snapshot lists Macon, Georgia for MA LOURDES BLAS MINA (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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