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Walter R Blase , MS, ATC

Specialist • Atlanta, GA

Active NPI 1376516617 Individual Practitioner Male Practitioner
Practice location in NPPES

101 Marietta St Nw, Suite 1900
Atlanta, GA 303032720

Call 4048783513 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

101 Marietta St Nw
Suite 1900

Atlanta, GA 303032720

Telephone 4048783513

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Atlanta and Georgia

197 active clinicians are listed under Specialist with a practice address in Atlanta, GA (843 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Atlanta

4.6% of these 197 clinicians have the CMS telehealth indicator.

21.8% of these 197 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

License # reported to NPPES GA AT000742

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Chantal Lajeunesse , APRN

Nurse Practitioner - Family

NPI 1376098731

Advanced Practice Registered Nurse

Carlene Mceachron , FNP

Nurse Practitioner - Family

NPI 1134594351

Family Nurse Practitioner

Monica Osayi

Nurse Practitioner - Family

NPI 1770049918
Chandra Williams

Nurse Practitioner - Psychiatric/Mental Health

NPI 1497294102

Career & Practice History

NPI enumerated February 08, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to November 2026.

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NPI Administrative Meta

NPI Number: 1376516617
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 08, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Other Specialists in Atlanta

All Specialists in Atlanta

Mailing Address

605 Bassett Ct Se

Smyrna, GA 300805528

Phone: 6788420212

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.