PENNY BLOUNT (PA-C) – Physician Assistant, NPI 1841376530
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
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Provider Addresses for PENNY BLOUNT (PA-C)
500, Collier Road Northwest, A, Atlanta, Fulton County, Georgia, 30318, United States
ATLANTA, GA 303091711
Phone: (404) 605-2800
Type: Location
4877 Bill Gardner Pkwy
Locust Grove, GA 302483644
Phone: (678) 399-7190
Fax: (678) 399-7192
Type: Location
755 Mount Vernon Hwy NE Ste 320
Atlanta, GA 303284288
Phone: (404) 350-8711
Fax: (404) 351-7550
Type: Location
290 COUNTRY CLUB DR STE 100
STOCKBRIDGE, GA 302819069
Phone: (678) 854-9500
Fax: (678) 854-9502
Type: Location
1800 HOWELL MILL RD NW STE 800
ATTN CHIEF COMPLIANCE OFFICER
ATLANTA, GA 303180922
Phone: (404) 350-9853
Fax: (404) 350-8407
Type: Mailing
1800 Howell Mill Rd NW Ste 800
Atlanta, GA 303180922
Phone: (404) 350-9853
Fax: (404) 350-8407
Type: Location
775 Poplar Rd Ste 310
Newnan, GA 302658303
Phone: (770) 251-2590
Fax: (770) 251-1490
Type: Location
1267 Highway 54 W Ste 4200
Fayetteville, GA 302142112
Phone: (678) 829-1060
Fax: (678) 829-1099
Type: Location
11315 Johns Creek Pkwy Ste 220
Johns Creek, GA 300972645
Phone: (678) 399-7187
Fax: (678) 399-7189
Type: Location
275 Collier Rd NW Ste 500
Atlanta, GA 303091711
Phone: (404) 605-2800
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $667.
Total Amount is formed as General ($667) + Research ($0) + Ownership ($0) = $667.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($186).
Total Amount
$667
General + Research + Ownership
Payments
22
Total payment records
General Amount
$667
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2020-01-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200128003221 | I | Physician Assistant | GA | TBD |
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.
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 30309)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| - | GA | |
| - | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine | OH | |
| Nurse Practitioner | GA | |
| Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology) | GA | |
| Cardiovascular Disease (Cardiology) | GA | |
| - | GA |
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