BLOSSOM TEWELDE MD
NPI 1144686734
Internal Medicine in Atlanta, GA

Q: What is Blossom Tewelde's NPI number?

The NPI number for Blossom Tewelde is 1144686734. It was assigned to this individual provider in the NPPES registry on January 12, 2016.

Q: What is Blossom Tewelde's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Blossom Tewelde was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 12, 2016PECOS EnrolledAccepts Medicare Assignment

80 JESSE HILL JR DR SE, ATLANTA, GA 30303(404) 616-1000 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2021, Jan 12, 2016 (2 updates tracked since 2016).

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About Blossom Tewelde Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLOSSOM TEWELDE MD (NPI 1144686734) is an individual internal medicine provider in Atlanta, Georgia, licensed in Georgia (105356) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Johns Hopkins University School Of Medicine (2021).

NPPES Registry Identity

NPI1144686734

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameBLOSSOM TEWELDECredential: MD

Location Address80 JESSE HILL JR DR SEAtlanta, GA 30303-3031

Mailing Address80 Jesse Hill Jr Dr SeAtlanta, GA 30303-3031 · (404) 616-1000

Phone(404) 616-1000

Sole ProprietorYes

Medical School CMSJohns Hopkins University School Of MedicineGraduated 2021

Enumeration DateJanuary 12, 2016

Last NPPES UpdateJuly 15, 20252 updates tracked since enumeration

NPPES CertifiedJuly 15, 2025

✔ NPI 1144686734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in GA · 105356

Definition

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.

Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X · License 105356 (GA)

80 JESSE HILL JR DR SE, Atlanta, GA 30303

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Blossom Tewelde Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850791435

PECOS Enrollment IDI20251014002649

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110079

Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHANNON WALKER IKE MD

Internal Medicine (Cardiovascular Disease)