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MICHAEL BLAIVAS MD
NPI 1639289341
Emergency Medicine in Augusta, GA

Active since August 30, 2006
1120 15TH ST, AUGUSTA, GA 30912(706) 721-4951(706) 721-7941 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Blaivas Md NPPES

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

MICHAEL BLAIVAS MD (NPI 1639289341) is an individual emergency medicine provider in Augusta, Georgia, licensed in Georgia (051435) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1639289341
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMICHAEL BLAIVASCredential: MD
Location Address1120 15TH STAugusta, GA 30912-0004
Mailing Address1499 Walton Way, Ste 1400Augusta, GA 30901-2602 · (706) 828-6410 · Fax (706) 722-5187
Phone(706) 721-4951
Fax(706) 721-7941
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1639289341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in GA · 051435
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1120 15TH ST, Augusta, GA 30912
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Other Identifiers 4

Medicare ID-Type Unspecified93BDQZMGA · Ga Medicare #
MedicaidG51435SC
Medicare UPING81067
Medicaid000950639AGA

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.

DR. TOYA HESTER KELLEY MD
Family Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-3157
DR. JACK BRADLEY ELLIS D.O.
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
MR. ROBERT SCOTT SMITH FNP-C
Nurse Practitioner (Family)
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8549
SAMI MOHAMMED ALSHEHRY
Student in an Organized Health Care Education/Training Program
1120 15TH ST, 1065
AUGUSTA, GA 30912
Richmond County (706) 721-2411
LUIS ALBERTO VELASQUEZ ZARATE M.D
Pathology (Anatomic Pathology & Clinical Pathology)
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-2771
DR. BRYAN RICHARD BROACH M.D.
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
JANELLE MCGILL M.D.
Pediatrics
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
DR. KAYLA ASHLEY SHAHBAZIAN DO
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623

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 Michael Blaivas's NPI number?

The NPI number for Michael Blaivas is 1639289341. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Michael Blaivas located?

Michael Blaivas practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-4951.

What is Michael Blaivas's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Michael Blaivas was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.