Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659893857 Individual Practitioner Male Practitioner

Dr. Ryan Fredric Bloomquist , MD, PhD, DMD, MBA, MPH

Internal Medicine • Augusta, GA

Professional Overview & Biography Verified Profile Summary

Dr. Ryan Bloomquist, MD, PhD, DMD, MBA, MPH is a registered healthcare professional specializing in Internal Medicine in Augusta, GA. Practice services are available at 1120 15TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1120 15th St

Augusta, GA 309120001

Telephone 7067212371
Fax 7067216778
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.3 Yrs
State Avg: 25.9 Yrs
Regional Practice Density
345 Specialists

Practicing in Augusta, GA (4065 Statewide)

Telehealth Adoption Rate
5.5% 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

CMS Verified: 2025-06-24
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License GA 17782

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Dentist

NUCC Taxonomy Code: 122300000X

State License GA DN015571

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Geoffrey Thompson , DDS, MS

Dentist - Prosthodontics

NPI 1003807603

Doctor of Dental Surgery, Master of Science

Dr. Steven Nelson , DMD

Dentist - Prosthodontics

NPI 1003861352

Doctor of Dental Medicine

Dr. John Hawkins , CRNA, PhD

Nurse Anesthetist, Certified Registered

NPI 1003880196

Certified Registered Nurse Anesthetist, Doctor of Philosophy (Ph.D.)

Dr. Theodore Ravenel , DMD

Dentist - Endodontics

NPI 1013070879

Doctor of Dental Medicine

Dr. Edna Pashley , DMD

Dentist - Pediatric Dentistry

NPI 1033165584

Doctor of Dental Medicine

Dr. Ryan Mooneyham , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1033705066

Doctor of Dental Surgery

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location June 24, 2025

Registered at 1120 15TH ST, AUGUSTA, GA 309120001 (Tel: 7067212371)

📍
Updated Business Mailing Address June 24, 2025

Registered at 1120 15TH ST, AUGUSTA, GA 309120001 (Tel: 7067212371)

👤
Provider Name / Credentials Updated June 24, 2025

Recorded as RYAN BLOOMQUIST, MD,PHD,DMD,MBA,MPH

📍
Updated Practice Location March 12, 2021

Registered at 1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 309120001 (Tel: 7067212371)

📍
Updated Practice Location May 16, 2018

Registered at 1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 30912 (Tel: 7067212371)

📍
Updated Business Mailing Address May 16, 2018

Registered at 1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 309120001 (Tel: 7067212371)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2018

Dentist (License #DN015571 in GA)

NPI Profile Active July 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 10, 2017

Registered at 29 BEE ST, CHARLESTON, SC 294250001 (Tel: 8434944542)

📍
Updated Business Mailing Address July 10, 2017

Registered at 1490 RED TIDE RD, MT PLEASANT, SC 294669402 (Tel: 8434944542)

👤
Provider Name / Credentials Updated July 10, 2017

Recorded as RYAN BLOOMQUIST, DMD, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2017

Dentist (License #8957 in SC)

🟢
Initial NPI Registration & Enumeration July 10, 2017

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: 1659893857
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 10, 2017
Last Update: June 24, 2025
Sole Proprietor: No

Mailing Address

1120 15th St

Augusta, GA 309120001

Phone: 7067212371

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.