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

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

Active since July 25, 2026
2959 SHARPSBURG MCCULLUM RD STE 105, NEWNAN, GA 30265(678) 423-5500 Get Directions Write a Review

NPPES record last updated: November 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 4, 2026, Jul 25, 2026 (2 updates tracked since 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 Address2959 SHARPSBURG MCCULLUM RD STE 105Newnan, GA 30265-2297
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7725
Phone(678) 423-5500
Sole ProprietorYes
Enumeration DateJuly 25, 2026
Last NPPES UpdateNovember 4, 20262 updates tracked since enumeration
NPPES CertifiedNovember 4, 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
2959 SHARPSBURG MCCULLUM RD STE 105, Newnan, GA 30265
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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.

ABIGAIL LAUREN POST LPC
Counselor (Professional)
2959 SHARPSBURG MCCULLUM RD STE 105
NEWNAN, GA 30265
Coweta County (678) 423-5500
KADI NICOLE YEH LAPC
Counselor (Professional)
2959 SHARPSBURG MCCULLUM RD STE 105
NEWNAN, GA 30265
Coweta County (678) 423-5500
SHAR ALYCIA GOOLSBY LPC
Counselor (Professional)
2959 SHARPSBURG MCCULLUM RD STE 105
NEWNAN, GA 30265
Coweta County (678) 423-5500
JOSEPH HUGH ETHEREDGE LPC
Counselor (Professional)
2959 SHARPSBURG MCCULLUM RD STE 105
NEWNAN, GA 30265
Coweta County (678) 423-5500
DARREN WAYNE WHITFIELD LPC
Counselor (Professional)
2959 SHARPSBURG MCCULLUM RD STE 105
NEWNAN, GA 30265
Coweta County (678) 423-5500

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 2959 Sharpsburg Mccullum Rd Ste 105, Newnan, GA 30265. The listed phone number is (678) 423-5500.

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 November 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.