RONALD DAVID BLAIR JR. LPC
NPI 1538016704
Counselor - Mental Health in Statesboro, GA
About Ronald David Blair Jr. Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RONALD DAVID BLAIR JR. LPC (NPI 1538016704) is an individual mental health provider in Statesboro, Georgia, licensed in Georgia (APC009301) and active in the NPI registry since March 2026. The provider is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ronald David Blair Jr. Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Ronald Blair reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Statesboro, GA 30458
- Reassigned Medicare billing, Georgia enrollment
Miami, FL 33130
- Reassigned Medicare billing, Georgia enrollment
- 994 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
STATESBORO, GA 30458
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 Ronald Blair's NPI number?
The NPI number for Ronald Blair is 1538016704. It was assigned to this individual provider in the NPPES registry on March 16, 2026.
Where is Ronald Blair located?
Ronald Blair practices at 201 Donehoo St, Statesboro, GA 30458. The listed phone number is (912) 255-3809.
What is Ronald Blair's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Ronald Blair enrolled in Medicare?
Yes. Ronald Blair is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Ronald Blair's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ronald Blair reassigns Medicare benefits to 2 organizations: Reinvent Yourself Counseling (Statesboro, GA) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ronald Blair's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ronald Blair was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ronald David Blair Jr., LPC · NPI 1538016704
Mental Health provider in Statesboro, Georgia. Individual provider, active in the CMS NPPES registry since March 16, 2026.
## Identity
- **NPI:** 1538016704 (Entity type: Individual)
- **Enumerated:** March 16, 2026
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** APC009301 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 201 DONEHOO ST, Statesboro, GA 30458-5120
- **Phone:** (912) 255-3809
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Reinvent Yourself Counseling (NPI 1427976489, Statesboro, GA); Grow Healthcare Group PA (NPI 1245845932, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1538016704) · Data from the CMS NPPES public registry.