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NPI · 1356897581 · NPPES-sourced

Gregory Blackman Pac, Atc

ActiveSurgical Physician Assistant
NPI Number
1356897581
Type 1 · Individual
Taxonomy Code
363AS0400X
Contact
(978) 632-0800
License MA · PA100402
Last Updated
Enumerated
Primary practice addressMA · 01440-1396
250 Green StGardner, MA 01440-1396
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About this NPIWhat this record shows.

NPI 1356897581 is registered to Gregory Blackman Pac, Atc, a Surgical Physician Assistant practising at 250 Green St in Gardner, Massachusetts. Surgical Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Gregory Blackman Pac, Atc has been enumerated in the National Provider Identifier (NPI) registry since 2016.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • PA100402MA· Issued by LICENSE
  • 2000020732· Issued by BOARD OF CERTIFICATION FOR THE ATHLETIC TRAINER
  • MPA10000541MA· Issued by CONTROLLED
  • 1174263· Issued by NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS
  • MSC000004AMA· Issued by PRESCRIBE

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Gregory Blackman Pac, Atc accepts. To confirm in-network status with your specific health plan, contact Gregory Blackman Pac, Atc directly at (978) 632-0800.

Frequently asked

Yes. NPI 1356897581 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Surgical Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (978) 632-0800.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Gregory Blackman Pac, Atc is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363AS0400X
Last updated
Enumerated
StatusActive
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2 records · same addressOther providers at this location.

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Same specialtyOther Surgical Physician Assistant providers in Massachusetts.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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