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Contact Information

BLOOM WELL HEALTH CLINIC LLC
2667 BATTEN HILL RD
BLACKSHEAR, GA31516-4938
 Phone: 912-282-2025
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Diabetes Educator

163WD0400X
 

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
 

Family

363LF0000X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BLOOM WELL HEALTH CLINIC LLC

NPI # 1841134533
LBN Legal business name BLOOM WELL HEALTH CLINIC LLC
Authorized official LISA BATTEN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/15/2026
Last updated 04/15/2026 - About 2 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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