Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356897581 Individual Practitioner Male Practitioner

Gregory Andrew Blackman , PA-C, ATC

Physician Assistant - Surgical • Gardner, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Gregory Blackman, PA-C, ATC is a certified Physician Assistant - Surgical practicing in Gardner, MA. With approximately 6 years of clinical experience since completing medical education in 2020, Gregory Blackman delivers high-quality medical care to the local community at 250 GREEN ST.

Gregory Blackman is affiliated with Heywood Medical Group Inc. and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

250 Green St

Gardner, MA 014401396

Telephone 9786320800
Associated Practice Facility / Clinic
🏢 A. Tariq Malik, Md, Inc. Facility NPI 1477552750

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Gardner, MA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs Matches City Avg
City Avg: 6.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
2 Specialists

Practicing in Gardner, MA (523 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Blackman (6 Years) 6 Yrs
Gardner Specialty Average (6.0 Years) 6.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-12-14
Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License MA PA100402

Definition to come...

Specialist/Technologist - Athletic Trainer

NUCC Taxonomy Code: 2255A2300X

State License None 2000020732

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License None 1174263

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License
PA100402 (MA)
Commercial Insurance / Payer ID Board Of Certification For The Athletic Trainer
2000020732
Commercial Insurance / Payer ID Controlled
MPA10000541 (MA)
Commercial Insurance / Payer ID National Commission On Certification Of Physician Assistants
1174263
Commercial Insurance / Payer ID Prescribe
MSC000004A (MA)

Hospital & Practice Group Affiliations

Heywood Medical Group Inc.

250 Green St, Gardner, MA 014401396

Phone: 9786306460

Heywood Medical Group Inc.

242 Green St, Gardner, MA 014401336

Practice Associates & Co-Workers

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

5 Associated Practitioners
Dr. Peter Brassard , MD

Orthopaedic Surgery

NPI 1366466344

Doctor of Medicine (M.D.)

Leah Spuria

Nurse Practitioner - Family

NPI 1376342766
Dr. Andrew Markwith , MD

Orthopaedic Surgery

NPI 1609036961

Doctor of Medicine (M.D.)

Roderick Mao

Physician Assistant - Medical

NPI 1700485224
Dr. Jared Toman , MD

Orthopaedic Surgery

NPI 1912173071

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

18 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2025

Physician Assistant (License #PA100402 in MA)

📍
Updated Practice Location June 20, 2024

Registered at 250 GREEN ST, GARDNER, MA 014401396 (Tel: 9786320800)

📍
Updated Business Mailing Address June 20, 2024

Registered at 250 GREEN ST STE 205, GARDNER, MA 014401377 (Tel: 9786320800)

📍
Updated Practice Location May 02, 2022

Registered at 650 JOEL DR, FORT CAMPBELL, KY 422235318 (Tel: 2707988400)

📍
Updated Business Mailing Address May 02, 2022

Registered at 650 JOEL DR, FORT CAMPBELL, KY 422235318

📍
Updated Practice Location February 04, 2021

Registered at 2851 OHIO ST, GLENBURN, ME 044011050 (Tel: 2102216498)

📍
Updated Business Mailing Address February 04, 2021

Registered at 549 HC/BDAACH, UNIT 15245, APO, AP 96271

👤
Provider Name / Credentials Updated February 04, 2021

Recorded as GREGORY BLACKMAN, PAC, ATC

📍
Updated Practice Location May 01, 2019

Registered at 716 STEVENS AVE, PORTLAND, ME 041032693 (Tel: 2072830171)

📍
Updated Business Mailing Address May 01, 2019

Registered at 716 STEVENS AVE, PORTLAND, ME 041032693 (Tel: 2072830171)

👤
Provider Name / Credentials Updated May 01, 2019

Recorded as GREGORY BLACKMAN, ATC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2019

Specialist/Technologist (License #2000020732 in None)

NPI Profile Active August 28, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 28, 2016

Registered at 6152 SE EASTBROOK DR, MILWAUKIE, OR 972223239 (Tel: 9713444592)

📍
Updated Business Mailing Address August 28, 2016

Registered at 6152 SE EASTBROOK DR, MILWAUKIE, OR 97222 (Tel: 9713444592)

👤
Provider Name / Credentials Updated August 28, 2016

Recorded as GREG BLACKMAN, ATC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2016

Specialist/Technologist (License #10170514 in OR)

🟢
Initial NPI Registration & Enumeration August 28, 2016

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: 1356897581
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2016
Last Update: December 14, 2025
Sole Proprietor: No

Mailing Address

250 Green St Ste 205

Gardner, MA 014401377

Phone: 9786320800

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.