MR. MICAHEL S BLANTON (NPI# 1487674156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487674156 |
| Entity Type | Individual |
| Full Name | MR. MICAHEL S BLANTON |
| Credential | AA |
| Practice Address |
1968 Peachtree Road Nw Atlanta GA 30309-1281 |
| Mailing Address |
Po Box 551420 Fort Lauderdale FL 33355-1420 |
| Practice Telephone | 4043511754 |
| Practice Fax Number | 4043517121 |
| Mailing Telephone | 8002433839 |
| Mailing Fax Number | 9548392569 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2010-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 00638 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367H00000X | Anesthesiologist Assistant | 000638 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000412156 | 05 | |
| GA | 455538491E | 05 |
| Street Address |
1968 PEACHTREE ROAD NW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30309-1281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366449498 | James F Beatty | Specialist | 1968 Peachtree Road Nw, B336, Atlanta, GA 30309-1281 | 2005-07-05 |
| 1861041972 | Mallory Catall | Physician Assistant | 1968 Peachtree Road Nw, Atlanta, GA 30309-1796 | 2019-09-11 |
| 1598283137 | Morgan Lee Kim | Anesthesiologist Assistant | 1968 Peachtree Road Nw, Atlanta, GA 30309 | 2017-09-04 |
| 1366755993 | Nathan Scott Lycan | Physician Assistant | 1968 Peachtree Road Nw, Atlanta, GA 30309 | 2010-07-25 |
| 1629300181 | Heather Diane Boehm Maginn | Physician Assistant | 1968 Peachtree Road Nw, Atlanta, GA 30309-1281 | 2010-02-09 |
| 1528390135 | Phillip V Oliver | Registered Nurse | 1968 Peachtree Road Nw, Atlanta, GA 30309-1281 | 2010-02-06 |
| 1366772907 | Harrison C Ojimma | Registered Nurse | 1968 Peachtree Road Nw, Atlanta, GA 30309-1281 | 2010-01-04 |
| 1720217805 | Haley C Gordon | Registered Nurse | 1968 Peachtree Road Nw, Atlanta, GA 30309-1281 | 2009-07-09 |
| 1033348727 | Molly A Peek | Nurse Anesthetist, Certified Registered | 1968 Peachtree Road Nw, Atlanta, GA 30309-1281 | 2009-07-02 |
| 1346475746 | Bertha O Onyemaobi | Registered Nurse | 1968 Peachtree Road Nw, Atlanta, GA 30309-1281 | 2009-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382354 | Astoria Dentistry LLC | Dentist | 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 | 2019-12-09 |
| 1487133740 | S2 Telehealth Technologies, LLC | Psychiatry & Neurology | 915 W Peachtree St Nw Apt 522, Atlanta, GA 30309 | 2018-08-08 |
| 1841782620 | Janie Mardis | Social Worker | 3 Park Ln Ne, Apt H, Atlanta, GA 30309 | 2018-06-06 |
| 1083102842 | Veronica L Bentley | Specialist/Technologist, Other | 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 | 2018-04-27 |
| 1427566363 | Net Medical Corp | Chiropractor | 1100 Spring St Sw, Ste#700, Atlanta, GA 30309 | 2018-01-12 |
| 1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
| 1306377817 | Aliyah Lamis Scott | Social Worker | 1745 Peachtree Road Ne, Kaiser Permanente Brookwood Medical Office, Atlanta, GA 30309 | 2017-03-26 |
| 1013450774 | Caroline Hallen | Nurse Practitioner | 105 Collier Rd Nw Suite 3040, Atlanta, GA 30309 | 2016-11-29 |
| 1528501723 | Ant-aging Queen | Nutritionist | 1801 Atlanta Medical Clinic, Suite 250, Atlanta, GA 30309 | 2016-11-21 |
| 1790231439 | Nurse 2 Health Home Care LLC | Home Health | 1075 Peachtree Street Ne, Atlanta, GA 30309 | 2016-09-01 |
| Find all providers in zip 30309 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316432537 | Heather Mcintyre | Anesthesiologist Assistant | 57 Executive Park S Ste 300, Atlanta, GA 30329-2287 | 2018-06-29 |
| 1699292235 | Robin Spierer | Anesthesiologist Assistant | 80 Jesse Hill Jr Dr Se # 6d028, Atlanta, GA 30303-3031 | 2017-08-24 |
| 1821512401 | Stephen Chaussinand | Anesthesiologist Assistant | 5673 Peachtree Dunwoody Rd Ste 490, Atlanta, GA 30342-1775 | 2017-07-26 |
| 1790206381 | Andres Felipe Hernandez | Anesthesiologist Assistant | 80 Jesse Hill Jr Dr Se Ste 6d028, Atlanta, GA 30303-3031 | 2017-07-05 |
| 1457737033 | Megan Tunstill | Anesthesiologist Assistant | 791 Wylie St Se Apt 905, Atlanta, GA 30316-7206 | 2015-08-05 |
| 1821472473 | Matthew Duncan | Anesthesiologist Assistant | 4210 Morgan Place Ct Ne, Atlanta, GA 30324-5413 | 2015-07-14 |
| 1336523240 | Joseph Howard | Anesthesiologist Assistant | 2515 Northeast Expy Ne, Apt F9, Atlanta, GA 30345-2501 | 2015-07-10 |
| 1902203508 | Anastasia Davidson | Anesthesiologist Assistant | 5671 Peachtree Dunwoody Rd Ste 530, Atlanta, GA 30342-5005 | 2014-11-25 |
| 1851793210 | Laura Goydich Rhein | Anesthesiologist Assistant | 3193 Howell Mill Rd Nw Ste 100, Atlanta, GA 30327 | 2014-09-17 |
| 1801203641 | Jason Daugherty | Anesthesiologist Assistant | 550 Peachtree Rd. Ne, Atlanta, GA 30308 | 2014-07-14 |
| 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.