JOHN BLEACHER MD
NPI 1366441941
Surgery - Pediatric Surgery in Atlanta, GA

Q: What is John Bleacher's NPI number?

The NPI number for John Bleacher is 1366441941. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Q: What is John Bleacher's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Q: When was this NPI record last updated?

The NPPES record for John Bleacher was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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 July 18, 2005PECOS Enrolled

5461 MERIDIAN MARK RD STE 570, ATLANTA, GA 30342(404) 785-6895(404) 785-6896 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2022, Jun 25, 2021 (2 updates tracked since 2021).

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About John Bleacher Md NPPES

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

JOHN BLEACHER MD (NPI 1366441941) is an individual pediatric surgery provider in Atlanta, Georgia, licensed in Georgia (42182) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366441941

Entity TypeIndividualMale

Primary Taxonomy2086S0120X

Provider Legal NameJOHN BLEACHERCredential: MD

Location Address5461 MERIDIAN MARK RD STE 570Atlanta, GA 30342-2807

Mailing Address5461 Meridian Mark Rd Ste 570Atlanta, GA 30342-2807 · (404) 785-6895 · Fax (404) 785-6896

Phone(404) 785-6895

Fax(404) 785-6896

Sole ProprietorNo

Enumeration DateJuly 18, 2005

Last NPPES UpdateJune 6, 20222 updates tracked since enumeration

✔ NPI 1366441941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0120X

License✔ Licensed in GA · 42182

Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

5461 MERIDIAN MARK RD STE 570, Atlanta, GA 30342

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Bleacher Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 15

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

KENDRA SUMMERS

Physician Assistant