Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. WALTER R BLASE M.S., A.T.C
NPI 1376516617
Specialist in Atlanta, GA

Q: What is Walter Blase's NPI number?

The NPI number for Walter Blase is 1376516617. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Q: What is Walter Blase's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Walter Blase was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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 February 08, 2006

101 MARIETTA ST NW, SUITE 1900, ATLANTA, GA 30303(404) 878-3513 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Walter R Blase M.s., A.t.c NPPES

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

MR. WALTER R BLASE M.S., A.T.C (NPI 1376516617) is an individual specialist in Atlanta, Georgia, licensed in Georgia (AT000742) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1376516617

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameMR. WALTER R BLASECredential: M.S., A.T.C

Location Address101 MARIETTA ST NW, SUITE 1900Atlanta, GA 30303-2720

Mailing Address605 Bassett Ct SeSmyrna, GA 30080-5528 · (678) 842-0212

Phone(404) 878-3513

Sole ProprietorNo

Enumeration DateFebruary 8, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1376516617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in GA · AT000742

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

101 MARIETTA ST NW, Atlanta, GA 30303

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Other Providers at the Same Location NPPES 5

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

MS. CARLENE MCEACHRON FNP

Nurse Practitioner (Family)

101 MARIETTA ST NW, STE 350
ATLANTA, GA 30303

Fulton County (404) 947-5800

MRS. CHANTAL MAXENE LAJEUNESSE APRN

Nurse Practitioner (Family)

101 MARIETTA ST NW
ATLANTA, GA 30303

Fulton County (404) 947-5800

CHANDRA WILLIAMS

Nurse Practitioner (Psychiatric/Mental Health)

101 MARIETTA ST NW
ATLANTA, GA 30303

Fulton County (404) 947-5800

MR. MICHAEL TYRONE DOUGLAS M.S. A.T.C.

Specialist/Technologist (Athletic Trainer)

101 MARIETTA ST NW
ATLANTA, GA 30303

Fulton County (404) 246-9770

MONICA OSAYI

Nurse Practitioner (Family)

101 MARIETTA ST NW
ATLANTA, GA 30303

Fulton County (404) 947-5800

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 Walter Blase's NPI number?

The NPI number for Walter Blase is 1376516617. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Walter Blase located?

Walter Blase practices at 101 Marietta St NW Suite 1900, Atlanta, GA 30303. The listed phone number is (404) 878-3513.

What is Walter Blase's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Walter Blase was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.