GREGORY ANDREW BLACKMAN PAC ATC NPI 1356897581

NPI Information

  • NPI: 1356897581
  • Provider Name: GREGORY ANDREW BLACKMAN, PAC, ATC
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 250 GREEN ST
    GARDNER, MA
    ZIP 01440
  • Phone: (978) 632-0800

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NPI Details

Gregory Andrew Blackman, PAC, ATC is a physician assistant in Gardner, MA. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Gregory Andrew Blackman, PAC, ATC NPI is 1356897581. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

250 GREEN ST
GARDNER, MA
ZIP 01440-396
Phone: (978) 632-0800

The NPI 1356897581 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/28/2016 and was last updated on 10/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalPA100402MASSACHUSETTSNo
22255A2300XSpecialist/TechnologistAthletic Trainer2000020732No
3363A00000XPhysician Assistant1174263Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PA100402OTHERMASSACHUSETTSLICENSE
22000020732OTHERBOARD OF CERTIFICATION FOR THE ATHLETIC TRAINER
3MPA10000541OTHERMASSACHUSETTSCONTROLLED
41174263OTHERNATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS
5MSC000004AOTHERMASSACHUSETTSPRESCRIBE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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