MEDICARE: REBECCA ANN BLEDSOE PHYSICIAN ASSISTANT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1306578042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA ANN BLEDSOE PHYSICIAN ASSISTANT

Provider Business Mailing Address
First Line	:	1633 NEW GARDEN RD UNIT 373
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27410-2001
Country	:	US
Telephone Number	:	336-223-4626
Fax Number	:

Provider Business Practice Location Address
First Line	:	1633 NEW GARDEN RD UNIT 373
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27410-2001
Country	:	US
Telephone Number	:	336-223-4626
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2022
Last Update Date	:	05/27/2026

Similar Medicare Providers

1598131997 — NATASHA ADEEL SALEHANI FNP-C, PMHNP-BC
Practice Location Address:

1633 NEW GARDEN RD UNIT 402
GREENSBORO, NC
27410-2001

Practice Phone: 336-257-1814
Practice Fax:

1679265920 — SARAH GRACE ROMPALO LCSW
Practice Location Address:

1633 NEW GARDEN RD # 1251
GREENSBORO, NC
27410-2001

Practice Phone: 336-249-0237
Practice Fax:

1972771285 — ATHENA LUCIA TATUM LCSW, MSW, MPA
Practice Location Address:

1633 NEW GARDEN RD UNIT 388
GREENSBORO, NC
27410-2001

Practice Phone: 850-345-9007
Practice Fax:

1407149370 — DR. SWATI PATEL PHARM D
Practice Location Address:

1605 NEW GARDEN RD
GREENSBORO, NC
27410-2001

Practice Phone: 336-855-6949
Practice Fax:

1093155467 — LISA SELVEY RPH
Practice Location Address:

1605 NEW GARDEN RD
GREENSBORO, NC
27410-2001

Practice Phone: 336-855-6949
Practice Fax: 336-855-3529

1275071490 — MR. CHAVIS DELOATCH LCMHC
Practice Location Address:

1633 NEW GARDEN RD UNIT 440
GREENSBORO, NC
27410-2001

Practice Phone: 336-890-6900
Practice Fax:

Directions to “ REBECCA ANN BLEDSOE PHYSICIAN ASSISTANT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.