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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HEATHER MARIE BLACKBURN PA-C
NPI 1114910429
Physician Assistant in Homerville, GA

Active since August 23, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
CLINCH MEMORIAL HOSPITAL, 1050 VALDOSTA HWY, HOMERVILLE, GA 31634(912) 487-5211(912) 487-4332 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 12, 2026, Apr 21, 2020, Jul 16, 2019 (3 updates tracked since 2019).

About Heather Marie Blackburn Pa-c NPPES

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

HEATHER MARIE BLACKBURN PA-C (NPI 1114910429) is an individual physician assistant in Homerville, Georgia, licensed in Georgia (5518) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Clinch Memorial Hospital, and maintains a secondary practice location in Fort Stewart.

NPPES Registry Identity

NPI1114910429
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHEATHER MARIE BLACKBURNCredential: PA-C
Location AddressCLINCH MEMORIAL HOSPITAL, 1050 VALDOSTA HWYHomerville, GA 31634
Mailing Address100 S Madison StThomasville, GA 31792-5473 · (229) 236-0831
Phone(912) 487-5211
Fax(912) 487-4332
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2005
Enumeration DateAugust 23, 2005
Last NPPES UpdateAugust 12, 20263 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
✔ NPI 1114910429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 5518
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
CLINCH MEMORIAL HOSPITAL, Homerville, GA 31634
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Secondary Practice Location 1

Location 11061 Harmon AvenueFort Stewart, GA 31314-5611 · Phone (912) 435-6666

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heather Marie Blackburn Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880743392
PECOS Enrollment IDI20090512000463
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
64 services54 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
34 services30 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
26 services25 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
23 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Clinch Memorial Hospital

Critical Access Hospitals · Homerville, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111308
Location1050 Valdosta HighwayHomerville, GA 31634 · Clinch County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31634 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost87.79

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier18 claims20 services$6.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Heather Blackburn's NPI number?

The NPI number for Heather Blackburn is 1114910429. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is Heather Blackburn located?

Heather Blackburn practices at Clinch Memorial Hospital 1050 Valdosta Hwy, Homerville, GA 31634. The listed phone number is (912) 487-5211.

What is Heather Blackburn's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Heather Blackburn enrolled in Medicare?

Yes. Heather Blackburn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Heather Blackburn affiliated with any hospitals?

According to CMS data, Heather Blackburn is affiliated with Clinch Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Heather Blackburn was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.