Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376516617 Individual Practitioner Male Practitioner

Walter R Blase , MS, ATC

Specialist • Atlanta, GA

Professional Overview & Biography Verified Profile Summary

Walter Blase, MS, ATC is a registered healthcare professional specializing in Specialist in Atlanta, GA. Practice services are available at 101 MARIETTA ST NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

101 Marietta St Nw
Suite 1900

Atlanta, GA 303032720

Telephone 4048783513

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Atlanta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.9 Yrs
State Avg: 36.1 Yrs
Regional Practice Density
221 Specialists

Practicing in Atlanta, GA (979 Statewide)

Telehealth Adoption Rate
4.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License GA AT000742

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Carlene Mceachron , FNP

Nurse Practitioner - Family

NPI 1134594351

Family Nurse Practitioner

Chantal Lajeunesse , APRN

Nurse Practitioner - Family

NPI 1376098731

Advanced Practice Registered Nurse

Chandra Williams

Nurse Practitioner - Psychiatric/Mental Health

NPI 1497294102
Michael Douglas , MSATC

Specialist/Technologist - Athletic Trainer

NPI 1679535397
Monica Osayi

Nurse Practitioner - Family

NPI 1770049918

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 101 MARIETTA ST NW, SUITE 1900, ATLANTA, GA 303032720 (Tel: 4048783513)

📍
Updated Business Mailing Address July 08, 2007

Registered at 605 BASSETT CT SE, SMYRNA, GA 300805528 (Tel: 6788420212)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as WALTER BLASE, M.S., A.T.C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #AT000742 in GA)

🟢
Initial NPI Registration & Enumeration February 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376516617
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 08, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

605 Bassett Ct Se

Smyrna, GA 300805528

Phone: 6788420212

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.