Dr. Wesley Lane Blackwood
M.D. | Pediatric Cardiology | Male
Dr. Wesley Lane Blackwood, M.D. is a Macon, Georgia based Pediatric doctor with medical specialization in
Pediatric Cardiology.
Current practice location of Dr. Wesley Lane Blackwood is
1062 Forsyth St, Suite 3a, Macon, Georgia - 31201-8637. He can be contacted on phone at
478-743-4622.
Dr. Wesley Lane Blackwood is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Wesley Lane Blackwood is
1093930208 which was assigned by NPPES on 13 Apr, 2007 and it was last updated on 22 Jan, 2021.
Dr. Wesley Lane Blackwood license number is
062657 for Pediatrics Pediatric Cardiology (2080P0202X) in Georgia.
Dr. Wesley Lane Blackwood provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Dr. Wesley Lane Blackwood basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Cardiology |
|---|
| Provider Name : | Dr. Wesley Lane Blackwood |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
|---|
Business Address:
Dr. Wesley Lane Blackwood address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1062 Forsyth St, Suite 3a
Macon, GA, 31201-8637
United States |
|---|
| Phone Number : | 478-743-4622 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1093930208 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 13 Apr, 2007 |
|---|
| Last Updated On : | 22 Jan, 2021 |
|---|
Medicare Participation:
Dr. Wesley Lane Blackwood participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 5294889788 |
|---|
| Medicare Enrollment ID : | I20090818000606 |
|---|
| Primary Specialty : | Cardiovascular Disease (cardiology) |
|---|
| Medical School : | Medical College Of Georgia School Of Medicine |
|---|
| Graduation Year : | 2003 |
|---|
| Accepts Medicare? | May accept. Dr. Wesley Lane Blackwood may accepts medicare insurance. |
|---|
Group Practice Association:
Dr. Wesley Lane Blackwood is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Wesley Lane Blackwood is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Children's Healthcare Of Atlanta Cardiology Inc | 6901888395 | 25 | 60 Executive Park S Ne
Suite 100
Atlanta, GA - 303292229
Ph: 4042562593 | May accept |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Wesley Lane Blackwood are as mentioned. Primary taxonomy code for Dr. Wesley Lane Blackwood, M.D. is
2080P0202X (Pediatrics Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0202X | Pediatrics Pediatric Cardiology | Yes | 062657 | GA |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | sibley@choa.gadirect.com
Sibley | | HIE
Health Information Exchange (HIE)
| OTHER
Other
PHI | 1062 FORSYTH ST, SUITE 3A
MACON, GA, 31201-8637
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2835 Brandywine Rd, #300
Atlanta, GA, 30341-5540
United States |
|---|
| Phone Number : | 404-256-2593 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Wesley Lane Blackwood practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.