MRS. TIFFANY BLAMBLE (PA-C) – Physician Assistant, NPI 1124682281

MRS. TIFFANY BLAMBLE (PA-C) is a healthcare provider. based in Douglasville, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 9842 (GA). The NPI Number for MRS. TIFFANY BLAMBLE (PA-C) is 1124682281

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MRS. TIFFANY BLAMBLE (PA-C)
NPI
1124682281
Phone
(678) 347-6002
Address
6381 S SKYLINE DR
Enumeration Date
24 April 2019
Last Update Date
29 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704275717
Graduation Year
2020 (6 years ago)
PAC ID
1850790411
Group Practice PAC ID
6204723216
Professional Enrollment ID
I20210602000435
Address ID
GA300609403MA300XXNEXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

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Provider Addresses for MRS. TIFFANY BLAMBLE (PA-C)

  • 6381 S SKYLINE DR

    DOUGLASVILLE, GA 301353953

    Phone: (678) 347-6002

    Type: Mailing

  • Briarwood Recreation Center, 2235, Briarwood Way Northeast, Brookhaven, DeKalb County, Georgia, 30319, United States

    BROOKHAVEN, GA 30319

    Phone: (678) 347-6002

    Type: Location

  • 2235 Briarwood Way NE

    Brookhaven, GA 30319

    Phone: (404) 567-6944

    Type: Location

  • 3750 Venture Dr

    Duluth, GA 300961808

    Phone: (404) 567-6944

    Type: Location

  • PO BOX 102321

    ATLANTA, GA 303682321

    Phone:

    Type: Mailing

  • 4181 HOSPITAL DR NE STE 204

    COVINGTON, GA 300142541

    Phone: (770) 788-6534

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $196.

Total Amount is formed as General ($196) + Research ($0) + Ownership ($0) = $196.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Ferring Pharmaceuticals Inc. ($126).

Total Amount

$196

General + Research + Ownership

Payments

7

Total payment records

General Amount

$196

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

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: 2021-06-02

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
I20210602000435IPhysician AssistantGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J7329Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg57512$0
J1100Injection, dexamethasone sodium phosphate, 1 mg9214$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg9214$0
27447Replacement of knee joint, both sides of knee8074$0
20610Aspiration and/or injection of fluid from large joint4635$0
View full utilization report →

Insurance plans in this area (ZIP 30135)

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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: 6204723216View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA
Occupational Therapist In Private PracticeGA
Physical Therapist In Private PracticeOH
-GA
-GA
Orthopedic SurgeryGA
-GA
Physician AssistantGA
Physical Medicine And RehabilitationGA
Orthopedic SurgeryGA

Reviews

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Frequently asked questions

Can I cross-check MRS. TIFFANY BLAMBLE (PA-C) using NPI 1124682281?
NPI 1124682281 belongs to MRS. TIFFANY BLAMBLE (PA-C); compare other details if you need extra assurance.
Is MRS. TIFFANY BLAMBLE (PA-C) shown as active in public data?
Registry records indicate MRS. TIFFANY BLAMBLE (PA-C) maintains an active NPI.
How would a patient describe MRS. TIFFANY BLAMBLE (PA-C)'s focus?
For MRS. TIFFANY BLAMBLE (PA-C), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. TIFFANY BLAMBLE (PA-C)?
Travel planning: use Douglasville, Georgia as the reference point for MRS. TIFFANY BLAMBLE (PA-C), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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