Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

EVAN MITCHELL BLOOM DNP, APRN, PMHNP-BC
NPI 1740102573
Nurse Practitioner - Psychiatric/Mental Health in Newnan, GA

Active since July 25, 2026
20 SALBIDE AVE, NEWNAN, GA 30263(678) 877-6951 Get Directions Write a Review

NPPES record added: July 25, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Evan Mitchell Bloom Dnp, Aprn, Pmhnp-bc NPPES

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

EVAN MITCHELL BLOOM DNP, APRN, PMHNP-BC (NPI 1740102573) is an individual psychiatric/mental health provider in Newnan, Georgia, licensed in Georgia (APRN-NP312467) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1740102573
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameEVAN MITCHELL BLOOMCredential: DNP, APRN, PMHNP-BC
Location Address20 SALBIDE AVENewnan, GA 30263-2501
Mailing Address20 Salbide AveNewnan, GA 30263-2501
Sole ProprietorYes
Enumeration DateJuly 25, 2026
NPPES CertifiedJuly 25, 2026
NPI 1740102573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in GA · APRN-NP312467
20 SALBIDE AVE, Newnan, GA 30263

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 Evan Bloom's NPI number?

The NPI number for Evan Bloom is 1740102573. It was assigned to this individual provider in the NPPES registry on July 25, 2026.

Where is Evan Bloom located?

Evan Bloom practices at 20 Salbide Ave, Newnan, GA 30263. The listed phone number is (678) 877-6951.

What is Evan Bloom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Evan Bloom was last updated on July 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.