DR. WESLEY LANE BLACKWOOD (M.D.) – Pediatric Cardiology Physician, NPI 1093930208

DR. WESLEY LANE BLACKWOOD (M.D.) is a healthcare provider. based in Atlanta, Georgia. specializing in PEDIATRIC MEDICINE, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. 062657 (GA). The NPI Number for DR. WESLEY LANE BLACKWOOD (M.D.) is 1093930208

Main info

Male
23 Years Of Experience
Name
DR. WESLEY LANE BLACKWOOD (M.D.)
NPI
1093930208
Phone
(404) 256-2593
Address
2835 BRANDYWINE RD
Enumeration Date
13 April 2007
Last Update Date
23 April 2026

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
4042562593
Graduation Year
2003 (23 years ago)
PAC ID
5294889788
Group Practice PAC ID
6901888395
Professional Enrollment ID
I20090818000606
Address ID
GA303292229AT60XXXNEXX501

Contacts

Secure Messaging
sibley@choa.gadirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness95
Years active:19State licenses:1Other names

496 PEDIATRIC MEDICINE in GA

Provider Addresses for DR. WESLEY LANE BLACKWOOD (M.D.)

  • 2835 BRANDYWINE RD

    #300

    ATLANTA, GA 303415540

    Phone: (404) 256-2593

    Type: Mailing

  • 2970 BRANDYWINE RD STE 125

    ATLANTA, GA 303415521

    Phone: (404) 256-2593

    Fax: (770) 488-9408

    Type: Mailing

  • 1062 FORSYTH ST

    SUITE 3A

    MACON, GA 312018637

    Phone: (478) 743-4622

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $109.

Total Amount is formed as General ($109) + Research ($0) + Ownership ($0) = $109.

Last reported payment date: 2024-07-31 • Largest payer in this snapshot: ANI Pharmaceuticals, Inc. ($74).

Total Amount

$109

General + Research + Ownership

Payments

4

Total payment records

General Amount

$109

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-08-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090818000606ICardiovascular Disease (Cardiology)GATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30341)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901888395View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)GA
Cardiovascular Disease (Cardiology), Pediatric MedicineGA
Cardiovascular Disease (Cardiology), Pediatric MedicineGA
Pediatric Medicine, Cardiovascular Disease (Cardiology)GA
Pediatric Medicine, Cardiovascular Disease (Cardiology)GA
Pediatric MedicineGA
Cardiovascular Disease (Cardiology), Pediatric MedicineGA
Cardiovascular Disease (Cardiology), Pediatric MedicineGA
Pediatric Medicine, Cardiovascular Disease (Cardiology)GA
Medical Genetics And Genomics, Pediatric MedicineGA

Reviews

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Frequently asked questions

What number should I use to identify DR. WESLEY LANE BLACKWOOD (M.D.) for billing?
Administrative and clinical systems typically use NPI 1093930208 for DR. WESLEY LANE BLACKWOOD (M.D.).
Is DR. WESLEY LANE BLACKWOOD (M.D.)'s NPI status active today?
Active status means DR. WESLEY LANE BLACKWOOD (M.D.)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. WESLEY LANE BLACKWOOD (M.D.)?
NPPES ties DR. WESLEY LANE BLACKWOOD (M.D.) to Pediatric Cardiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. WESLEY LANE BLACKWOOD (M.D.)?
DR. WESLEY LANE BLACKWOOD (M.D.) shows a connection to Atlanta, Georgia in registry-derived data.
Can I export DR. WESLEY LANE BLACKWOOD (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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