Provider Profile

Kizuwanda Blackburne, RPAC

Unclaimed Profile

About Kizuwanda Blackburne

Kizuwanda Blackburne, RPAC is a physician assistant practicing in Stockbridge, GA. Medicare claims data shows Kizuwanda provided 117 services to 106 patients. The services billed most often include established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more, established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more, and visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient'. This provider record is associated with NPI 1417020405.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2004

Specialty

Credentials & Licensing

GA licenceAs reported to the NPI registry
No. 5126As reported
NPINational Provider Identifier
1417020405Issued 2006

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Telehealth reported to CMSYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Kizuwanda Blackburne's specialty?

Kizuwanda Blackburne is a physician assistant in Stockbridge, GA. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where can I find Kizuwanda Blackburne?

Kizuwanda Blackburne is listed at 145 Eagles Walk Suite A, Stockbridge, GA 30281. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Kizuwanda Blackburne?

The number on file is (770) 389-3855. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Kizuwanda Blackburne?

Kizuwanda Blackburne's National Provider Identifier is 1417020405. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Kizuwanda Blackburne's education?

Kizuwanda Blackburne attended Other, graduating in 2004. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Kizuwanda Blackburne have?

Kizuwanda Blackburne has 22 years experience. Calculated from a graduation year of 2004, reported in the CMS National Downloadable File.

CMS public data

What is Kizuwanda Blackburne known for?

According to Medicare billing data, Kizuwanda Blackburne the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Is Kizuwanda Blackburne's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Kizuwanda Blackburne. If this is you, claiming it is free.

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