JUAN BLOODWORTH
NPI 1841034600
Nurse Practitioner - Family in Fort Oglethorpe, GA

Q: What is Juan Bloodworth's NPI number?

The NPI number for Juan Bloodworth is 1841034600. It was assigned to this individual provider in the NPPES registry on June 25, 2024.

Q: What is Juan Bloodworth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Juan Bloodworth was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 25, 2024PECOS Enrolled

2009 OLD LAFAYETTE RD, FORT OGLETHORPE, GA 30742(706) 956-2665 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Juan Bloodworth NPPES

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

JUAN BLOODWORTH (NPI 1841034600) is an individual family provider in Fort Oglethorpe, Georgia, licensed in Georgia (RN149334) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841034600

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJUAN BLOODWORTH

Location Address2009 OLD LAFAYETTE RDFort Oglethorpe, GA 30742-3510

Mailing Address13570 N Main StTrenton, GA 30752-2012 · (706) 956-2665

Phone(706) 956-2665

Sole ProprietorNo

Enumeration DateJune 25, 2024

NPPES CertifiedJune 25, 2024

✔ NPI 1841034600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN149334

2009 OLD LAFAYETTE RD, Fort Oglethorpe, GA 30742

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Juan Bloodworth is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30742 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Leave this field empty

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BECKY CROSS CPNP-PC

Nurse Practitioner (Pediatrics)

2009 OLD LAFAYETTE RD
FORT OGLETHORPE, GA 30742

Catoosa County (706) 866-5520

DR. WILLIAM L HORTON DO

Internal Medicine

2009 OLD LAFAYETTE RD
FORT OGLETHORPE, GA 30742

Catoosa County (706) 866-5520

THOMAS DARRELL WELDON M.D.

Obstetrics & Gynecology

2009 OLD LAFAYETTE RD
FT OGLETHORPE, GA 30742

Catoosa County (706) 861-5950

PRIMARY HEALTH CARE CENTER OF DADE, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))

2009 OLD LAFAYETTE RD
FORT OGLETHORPE, GA 30742

Catoosa County (706) 866-5520

AYISHATU A SALAMI

Nurse Practitioner (Family)

2009 OLD LAFAYETTE RD
FORT OGLETHORPE, GA 30742

Catoosa County (706) 866-5520

ANNA M CLINE CNM

Advanced Practice Midwife

2009 OLD LAFAYETTE RD
FT OGLETHORPE, GA 30742

Catoosa County (706) 861-5950

DR. AILEEN JOANNA GUERRERO LITWIN D.O.

Pediatrics

2009 OLD LAFAYETTE RD
FORT OGLETHORPE, GA 30742

Catoosa County (706) 866-5520

DR. SAMANTHA BLAIR DONALD CATER D.O.

Obstetrics & Gynecology

2009 OLD LAFAYETTE RD
FORT OGLETHORPE, GA 30742

Catoosa County (706) 861-5950

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 Juan Bloodworth's NPI number?

The NPI number for Juan Bloodworth is 1841034600. It was assigned to this individual provider in the NPPES registry on June 25, 2024.

Where is Juan Bloodworth located?

Juan Bloodworth practices at 2009 Old Lafayette Rd, Fort Oglethorpe, GA 30742. The listed phone number is (706) 956-2665.

What is Juan Bloodworth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Juan Bloodworth enrolled in Medicare?

Yes. Juan Bloodworth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Juan Bloodworth was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.