Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

PENNY M FORMAN BLITZER MD
NPI 1083664288
Pediatrics in Suwanee, GA

Active since May 11, 2006
4310 JOHNS CREEK PKWY, SUITE 150, SUWANEE, GA 30024(770) 476-4020(770) 476-1674 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Penny M Forman Blitzer Md NPPES

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

PENNY M FORMAN BLITZER MD (NPI 1083664288) is an individual pediatrics provider in Suwanee, Georgia, licensed in Georgia (0050077) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1083664288
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NamePENNY M FORMAN BLITZERCredential: MD
Location Address4310 JOHNS CREEK PKWY, SUITE 150Suwanee, GA 30024-6091
Mailing Address4190 Falls Ridge DrAlpharetta, GA 30022-8490 · (770) 674-2585 · Fax (770) 476-1674
Fax(770) 476-1674
Sole ProprietorNo
Enumeration DateMay 11, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1083664288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in GA · 0050077
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4310 JOHNS CREEK PKWY, Suwanee, GA 30024

Accepted Insurance

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
4310 JOHNS CREEK PKWY, SUITE 150
SUWANEE, GA 30024
Physical Therapist
4310 JOHNS CREEK PKWY, STE 130
SUWANEE, GA 30024
Family Medicine
4310 JOHNS CREEK PKWY, STE 100
SUWANEE, GA 30024
Physical Therapist
4310 JOHNS CREEK PKWY
SUWANEE, GA 30024
Occupational Therapist
4310 JOHNS CREEK PKWY, 100
SUWANEE, GA 30024
Physical Therapist
4310 JOHNS CREEK PKWY
SUWANEE, GA 30024
Physical Therapist
4310 JOHNS CREEK PKWY, 100
SUWANEE, GA 30024
Pediatrics
4310 JOHNS CREEK PKWY, SUITE 150
SUWANEE, GA 30024

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 Penny Forman Blitzer's NPI number?

The NPI number for Penny Forman Blitzer is 1083664288. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Penny Forman Blitzer located?

Penny Forman Blitzer practices at 4310 Johns Creek Pkwy Suite 150, Suwanee, GA 30024. The listed phone number is (770) 476-4020.

What is Penny Forman Blitzer's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Penny Forman Blitzer accept?

Health plans from Alliant Health Plans, Inc. list Penny Forman Blitzer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Penny Forman Blitzer was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.