GREGORY ANDREW BLACKMAN PAC, ATC
NPI 1356897581
Physician Assistant - Surgical in Gardner, MA

Active since August 28, 2016PECOS EnrolledAccepts Medicare Assignment
250 GREEN ST, GARDNER, MA 01440(978) 632-0800 Get Directions Write a Review

NPPES record last updated: December 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 14, 2025, Jun 20, 2024, May 2, 2022 and 4 more (7 updates tracked since 2016).

About Gregory Andrew Blackman Pac, Atc NPPES

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

GREGORY ANDREW BLACKMAN PAC, ATC (NPI 1356897581) is an individual surgical provider in Gardner, Massachusetts, licensed in Massachusetts (PA100402) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, is affiliated with Heywood Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1356897581
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameGREGORY ANDREW BLACKMANCredential: PAC, ATC
Location Address250 GREEN STGardner, MA 01440-1396
Mailing Address250 Green St Ste 205Gardner, MA 01440-1377 · (978) 632-0800 · Fax (978) 623-0833
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 28, 2016
Last NPPES UpdateDecember 14, 20257 updates tracked since enumeration
NPPES CertifiedDecember 14, 2025
NPI 1356897581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in MA · PA100402
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License 2000020732
Also ListedPhysician AssistantTaxonomy 363A00000X · License 1174263
250 GREEN ST, Gardner, MA 01440

Other Identifiers 5

OtherPA100402MA · License
Other2000020732Board Of Certification For The Athletic Trainer
OtherMPA10000541MA · Controlled
Other1174263National Commission On Certification Of Physician Assistants
OtherMSC000004AMA · Prescribe

Accepted 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

Gregory Andrew Blackman Pac, Atc 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 ID143660795
PECOS Enrollment IDI20240430000185
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.

Heywood Hospital

Acute Care Hospitals · Gardner, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220095
Location242 Green StreetGardner, MA 01440 · Worcester County
Emergency services Birthing friendly

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.

Family Medicine
250 GREEN ST
GARDNER, MA 01440
Nurse Practitioner
250 GREEN ST
GARDNER, MA 01440
Internal Medicine (Gastroenterology)
250 GREEN ST, STE 212
GARDNER, MA 01440
Emergency Medicine
250 GREEN ST
GARDNER, MA 01440
Nurse Practitioner (Women's Health)
250 GREEN ST, SUITE 200
GARDNER, MA 01440
Family Medicine
250 GREEN ST
GARDNER, MA 01440
Family Medicine
250 GREEN ST, SUITE 200
GARDNER, MA 01440
Family Medicine
250 GREEN ST
GARDNER, MA 01440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory Blackman's NPI number?

The NPI number for Gregory Blackman is 1356897581. It was assigned to this individual provider in the NPPES registry on August 28, 2016.

Where is Gregory Blackman located?

Gregory Blackman practices at 250 Green St, Gardner, MA 01440. The listed phone number is (978) 632-0800.

What is Gregory Blackman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Gregory Blackman enrolled in Medicare?

Yes. Gregory Blackman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gregory Blackman accept?

Health plans from Anthem Blue Cross and Blue Shield list Gregory Blackman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Gregory Blackman affiliated with any hospitals?

According to CMS data, Gregory Blackman is affiliated with Heywood Hospital.

When was this NPI record last updated?

The NPPES record for Gregory Blackman was last updated on December 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.