Individual Healthcare Provider
Miranda Fordham Blais, WHNP-BC
Provider's NPPES record last updated: February 18, 2022
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1639607625
- Primary Specialty
- Nurse Practitioner — Women's Health
- Practice Location
- Brookhaven, Georgia
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 5:24 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Women's Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LW0102X Obstetrics & Gynecology
Allopathic & Osteopathic Physicians
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Taxonomy code 207V00000X
Provider-Reported License Information
- Nurse Practitioner (Georgia)
- RN216488
- Obstetrics & Gynecology (Georgia)
- RN216488
Practice Locations
Practice Location
3369 Buford Hwy Ne Ste 810a
Brookhaven, Georgia 30329-1742
Phone: (404) 321-4692
Record Information
- Enumeration Date
- June 2, 2017
- Provider's NPPES Record Last Updated
- February 18, 2022
- Certification Date
- February 18, 2022
- NPISignal NPPES Dataset
- August 2026
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