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

Robert Steven Blackwelder

Individual provider Acute Care Nurse Practitioner · NPI 1558993576

Robert Steven Blackwelder is a Nurse Practitioner in Augusta, Georgia. Graduated from University of South Carolina School of Medicine in 2020, 6 years ago. Practices with Augusta Primary Care Services LLC, a 37-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
6
Trained at
University of South Carolina School of Medicine
Licensed in
GA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

3623 J Dewey Gray Cir Ste 202
Augusta, GA 30909-6554
Phone: (706) 863-8181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN249545 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1558993576
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 7, 2020
Last updated in NPPESOctober 23, 2025
Certification dateOctober 23, 2025
Mailing address1120 15th St, Augusta, GA 30912-0004

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Augusta Primary Care Services Llc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Augusta