BLOOM PEDIATRICS
NPI 1750264420
Nurse Practitioner - Pediatrics in Madison, GA

Q: What is Bloom Pediatrics's NPI number?

The NPI number for Bloom Pediatrics is 1750264420. It was assigned to this organization in the NPPES registry on July 29, 2025.

Q: What is Bloom Pediatrics's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Bloom Pediatrics was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since July 29, 2025

2151 EATONTON RD STE 2, MADISON, GA 30650(770) 595-6394 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Bloom Pediatrics NPPES

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

BLOOM PEDIATRICS (NPI 1750264420) is a healthcare organization registered as a pediatrics in Madison, Georgia and active in the NPI registry since July 2025. The organization lists Whitney Whitney, Owner, as its authorized official.

NPPES Registry Identity

NPI1750264420

Entity TypeOrganization

Primary Taxonomy363LP0200X

Legal Business NameBLOOM PEDIATRICS

Location Address2151 EATONTON RD STE 2Madison, GA 30650-5088

Mailing Address2965 Doster RdMadison, GA 30650-3501 · (770) 595-6394

Phone(770) 595-6394

Organization SubpartNo

Authorized OfficialWhitney WhitneyOwner · (770) 595-6394

Enumeration DateJuly 29, 2025

Last NPPES UpdateSeptember 16, 2025

NPPES CertifiedSeptember 16, 2025

✔ NPI 1750264420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

2151 EATONTON RD STE 2, Madison, GA 30650

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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

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 Bloom Pediatrics's NPI number?

The NPI number for Bloom Pediatrics is 1750264420. It was assigned to this organization in the NPPES registry on July 29, 2025.

Where is Bloom Pediatrics located?

Bloom Pediatrics is located at 2151 Eatonton Rd Ste 2, Madison, GA 30650. The listed phone number is (770) 595-6394.

What is Bloom Pediatrics's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Bloom Pediatrics was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.