DR. JONATHAN ASHLEY BLOSSOM M.D. NPI 1407235617

NPI Information

  • NPI: 1407235617
  • Provider Name: DR. JONATHAN ASHLEY BLOSSOM, M.D.
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 499 GLOSTER CREEK VLG STE A2
    TUPELO, MS
    ZIP 38801
  • Phone: (662) 620-6801

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NPI Details

DR. Jonathan Ashley Blossom, M.D. is an internal medicine in Tupelo, MS with 4 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Jonathan Ashley Blossom, M.D. NPI is 1407235617. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduation Year:2022

The provider's business location address is:

499 GLOSTER CREEK VLG STE A2
TUPELO, MS
ZIP 38801-749
Phone: (662) 620-6801
Fax: (662) 377-2403

The NPI 1407235617 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist (HCPCS:93458)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Ultrasound of heart with color-depicted blood flow, rate and valve function (HCPCS:93325)
  • Ultrasound of heart with probe in esophagus, with report (HCPCS:93312)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Ultrasound of heart blood flow, valves and chambers (HCPCS:93320)
  • Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch (HCPCS:92928)
  • Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist (HCPCS:93459)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • External shock to heart to regulate heart beat (HCPCS:92960)
  • Insertion of tube in coronary artery for diagnosis with review by radiologist (HCPCS:93454)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Electrocardiogram (ecg) 2-day continuous with review and report by health care professional (HCPCS:93224)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician (HCPCS:93016)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician (HCPCS:93018)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel (HCPCS:93571)
  • Coronary angioplasty and stenting (HCPCS:NAN05)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 5/20/2015 and was last updated on 6/27/2022.

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
1207R00000XInternal MedicineT-2913MISSISSIPPIYes

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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