TAMMY FELICIA BLACKMON (NPI# 1063853133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063853133 |
| Entity Type | Individual |
| Full Name | TAMMY FELICIA BLACKMON |
| Practice Address |
270 17th St Nw Unit 2501 Atlanta GA 30363-1218 |
| Mailing Address |
270 17th Street Street Nw Unit. 2501 Atlanta GA 30363 |
| Practice Telephone | 6786970844 |
| Mailing Telephone | 6786970844 |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2013-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN196430 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
270 17TH ST NW UNIT 2501 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30363-1218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528416120 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 375 18th St, Atlanta, GA 30363 | 2016-05-25 |
| 1588906739 | Zhong Zheng | Otolaryngology | 2061 Peachtree Rd Nw Suite 300, Atlanta, GA 30363 | 2013-03-25 |
| 1154675403 | Miracle Houses, Incorporated | Community/Behavioral Health | 260 18th St Nw, Unit 10212, Atlanta, GA 30363 | 2012-11-07 |
| 1689050676 | Kimberly M Lee-okonya | Social Worker | 201 17th St Nw, Suite 300, Atlanta, GA 30363 | 2015-08-03 |
| 1144391715 | Reginald Stephen Fowler | Internal Medicine | 232 19th St Nw, Suite 7220, Atlanta, GA 30363 | 2006-11-13 |
| 1639562838 | Mara Rowland | Physical Therapist | 400 17th St Nw Unit 2415, Atlanta, GA 30363-1057 | 2015-03-12 |
| 1073124178 | Erin Marriott | Pharmacist | 171 17th St Nw Ste 1400, Atlanta, GA 30363-1069 | 2020-08-12 |
| 1952768632 | Angele Shropshire | Counselor | 230 18th St Nw, 11211, Atlanta, GA 30363-1073 | 2016-01-26 |
| 1184177362 | Akiscia Washington | Homeopath | 230 18th St Nw, Unit 11326, Atlanta, GA 30363-1073 | 2016-07-25 |
| 1679907661 | Katrina Walker | Pharmacist | 361 17th St Nw, Unit 913, Atlanta, GA 30363-1078 | 2013-08-26 |
| Find all providers in zip 30363 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063053478 | Emily Elizabeth Adams | Nurse Practitioner | 887 W Marietta St Nw, Atlanta, GA 30318-5252 | 2019-10-07 |
| 1316461221 | Thera Donaldson | Nurse Practitioner | 550 Peachtree St Ne Fl St7, Atlanta, GA 30308-2247 | 2017-08-01 |
| 1083010961 | Shelley-ann Beaubrun | Nurse Practitioner | 1017 Fayetteville Rd Se Ste A, Atlanta, GA 30316-2932 | 2014-11-05 |
| 1629415880 | Gina Kim | Nurse Practitioner | 5673 Peachtree Dunwoody Rd Ste 300, Atlanta, GA 30342-1775 | 2013-05-29 |
| 1750559837 | Phyllis Powell Wright | Nurse Practitioner | 3037 Loridan Way Se, Atlanta, GA 30339-5710 | 2008-02-12 |
| 1710036686 | Amy D Imes | Nurse Practitioner | 1155 Perimeter Ctr Fl 11, Atlanta, GA 30338-5463 | 2007-01-09 |
| 1821106733 | Holly Lynne Brown | Nurse Practitioner | 925 Garrett St Se, Suite 313, Atlanta, GA 30316-6826 | 2006-08-29 |
| 1700496981 | Debra Beckum | Nurse Practitioner | 320 Parkway Dr Ne, Atlanta, GA 30312-1213 | 2020-08-03 |
| 1356803357 | Racheal Sowole | Nurse Practitioner | 303 Parkway Dr Ne, Atlanta, GA 30312-1212 | 2019-04-01 |
| 1982194114 | Samantha Castello | Nurse Practitioner | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2018-05-14 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.