TAMMY FELICIA BLACKMON
NPI 1063853133
Nurse Practitioner - Gerontology in Atlanta, GA

Active since July 17, 2013
270 17TH ST NW UNIT 2501, ATLANTA, GA 30363(678) 697-0844 Get Directions Write a Review

NPPES record last updated: July 17, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tammy Felicia Blackmon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAMMY FELICIA BLACKMON (NPI 1063853133) is an individual gerontology provider in Atlanta, Georgia, licensed in Georgia (RN196430) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1063853133
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameTAMMY FELICIA BLACKMON
Location Address270 17TH ST NW UNIT 2501Atlanta, GA 30363-1218
Mailing Address270 17th Street Street Nw Unit. 2501Atlanta, GA 30363 · (678) 697-0844
Sole ProprietorYes
Enumeration DateJuly 17, 2013
NPI 1063853133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in GA · RN196430
270 17TH ST NW UNIT 2501, Atlanta, GA 30363

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tammy Blackmon's NPI number?

The NPI number for Tammy Blackmon is 1063853133. It was assigned to this individual provider in the NPPES registry on July 17, 2013.

Where is Tammy Blackmon located?

Tammy Blackmon practices at 270 17th St NW Unit 2501, Atlanta, GA 30363. The listed phone number is (678) 697-0844.

What is Tammy Blackmon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Tammy Blackmon was last updated on July 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.