BLACKSHEAR FAMILY PRACTICE
NPI 1497962435
Family Medicine in Nahunta, GA

Active since May 17, 2007CLIA 11D0974730 · Waiver
71 JOHNSON ST, NAHUNTA, GA 31553(912) 462-8920(912) 449-9766 Get Directions Write a Review

NPPES record last updated: October 14, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blackshear Family Practice NPPES

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

BLACKSHEAR FAMILY PRACTICE (NPI 1497962435) is a healthcare organization registered as a family medicine in Nahunta, Georgia and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through May 19, 2028 and lists Lisa Thrift, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1497962435
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBLACKSHEAR FAMILY PRACTICE
Location Address71 JOHNSON STNahunta, GA 31553-4032
Mailing AddressPo Box 1005Nahunta, GA 31553-1005 · (912) 462-8920 · Fax (912) 449-9766
Fax(912) 449-9766
Organization SubpartYesParent: Georgia Physicians South Pc
Authorized OfficialLisa ThriftPractice Manager · (912) 449-1501
Enumeration DateMay 17, 2007
Last NPPES UpdateOctober 14, 2014
NPI 1497962435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
71 JOHNSON ST, Nahunta, GA 31553

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0974730

Camden Healthcare Associates Inc Dba Blackshear Family Practice · Nahunta, GA
Active · expires May 19, 2028
CLIA Number11D0974730
Laboratory TypePhysician Office
Certificate Effective DateMay 20, 2026
Certificate Expiration DateMay 19, 2028
Laboratory DirectorGordon B. Waters
Laboratory Phone(912) 462-8920
Laboratory LocationCamden Healthcare Associates Inc Dba Blackshear Family Practice71 Johnson Street, Nahunta, GA 31553
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner
71 JOHNSON ST
NAHUNTA, GA 31553
Family Medicine
71 JOHNSON ST
NAHUNTA, GA 31553
Clinic/Center (Rural Health)
71 JOHNSON ST
NAHUNTA, GA 31553

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 Blackshear Family Practice's NPI number?

The NPI number for Blackshear Family Practice is 1497962435. It was assigned to this organization in the NPPES registry on May 17, 2007.

Where is Blackshear Family Practice located?

Blackshear Family Practice is located at 71 Johnson St, Nahunta, GA 31553. The listed phone number is (912) 462-8920.

What is Blackshear Family Practice's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Blackshear Family Practice hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0974730) is associated with this NPI, valid through May 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Blackshear Family Practice was last updated on October 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.