BLUFF DRIVE MEDICAL NPI 1659806248

NPI Information

  • NPI: 1659806248
  • Provider Name: BLUFF DRIVE MEDICAL
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Organization
  • Address: 954 MEMORIAL DR
    GAINESVILLE, GA
    ZIP 30501
  • Phone: (678) 897-9577

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NPI Details

BLUFF DRIVE MEDICAL is a surgical physician assistant in Gainesville, GA. BLUFF DRIVE MEDICAL NPI is 1659806248. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

954 MEMORIAL DR
GAINESVILLE, GA
ZIP 30501-334
Phone: (678) 897-9577

The provider's authorized official is John D Filson .
The authorized official title is Provider and has the following contact phone number (678) 897-9577.

The enumeration date for this NPI number is 4/21/2017 and was last updated on 4/21/2017.

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 AssistantSurgical003951GEORGIAYes

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

NPI Synchronization or Removal

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