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Gregory Andrew Blackman, PAC, ATC

Surgical Physician Assistant in Gardner, MA · enumerated 2016.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1356897581

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Registry record

Entity type Individual (Type 1)
Name Gregory Andrew Blackman
Credential PAC, ATC
Sex Male
Practice address 250 Green St, Gardner, MA, 01440
Enumeration date Aug 28, 2016
Last updated in NPPES Dec 14, 2025

Taxonomy & licenses

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA100402 (MA) Primary
2255A2300X Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 2000020732 Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 1174263 Secondary

Other identifiers

Identifier Type State Issuer
PA100402 Other MA LICENSE
2000020732 Other - BOARD OF CERTIFICATION FOR THE ATHLETIC TRAINER
MPA10000541 Other MA CONTROLLED
1174263 Other - NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS
MSC000004A Other MA PRESCRIBE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Gregory Blackman?
Gregory Blackman is registered in NPPES with the primary taxonomy of Surgical Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-12-14.