Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gregory Andrew Blackman, PAC, ATC

Individual provider Surgical Physician Assistant · NPI 1356897581

Gregory Andrew Blackman, PAC, ATC is a Physician Assistant in Gardner, Massachusetts. Qualified in 2020, 6 years ago. Practices with Heywood Medical Group Inc, a 106-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
6
Licensed in
MA
In the registry since
2016
Specialties on file
3
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

250 Green St
Gardner, MA 01440-1396
Phone: (978) 632-0800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA100402 (MA)
Athletic Trainer Taxonomy 2255A2300X · Licence 2000020732
Physician Assistant Taxonomy 363A00000X · Licence 1174263

Record details

NPI number1356897581
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC , ATC
Sole proprietorNo
NPI enumeratedAugust 28, 2016
Last updated in NPPESDecember 14, 2025
Certification dateDecember 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Heywood Medical Group Inc. — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare