Bloom Concierge MD
Psychiatry & Neurology, Psychiatry in Augusta, GA. Organization (NPI-2).
NPI number1245101021
StatusActive
Last updated in NPPESSep 15, 2025
Details
- NPI
- 1245101021
- Entity type
- Organization (NPI-2)
- Legal business name
- Bloom Concierge MD
- Organization subpart
- No
- Enumeration date
- Sep 15, 2025
- Certification date
- Sep 15, 2025
- Last updated
- Sep 15, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
Practice location
1285 Marks Church Rd Ste AAugusta, GA 30909-2472
Phone 443-386-4114
Mailing address
1285 Marks Church Rd Ste AAugusta, GA 30909-2472
Phone 443-386-4114
Authorized official
Ozioma Nwaigwe
Physician
4108660040
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