DR. JENNIFER NICOLE BLANDA MD
NPI 1235691882
Orthopaedic Surgery - Sports Medicine in Marietta, GA

Q: What is Jennifer Blanda's NPI number?

The NPI number for Jennifer Blanda is 1235691882. It was assigned to this individual provider in the NPPES registry on April 3, 2019.

Q: What is Jennifer Blanda's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Blanda was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.

Active since April 03, 2019PECOS EnrolledAccepts Medicare Assignment

677 CHURCH ST NE, MARIETTA, GA 30060(330) 414-9471 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Jennifer Nicole Blanda Md NPPES

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

DR. JENNIFER NICOLE BLANDA MD (NPI 1235691882) is an individual sports medicine provider in Marietta, Georgia, licensed in Georgia (A193129) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1235691882

Entity TypeIndividualFemale

Primary Taxonomy207XX0005X

Provider Legal NameDR. JENNIFER NICOLE BLANDACredential: MD

Location Address677 CHURCH ST NEMarietta, GA 30060-1101

Mailing Address677 Church St NeMarietta, GA 30060-1101 · (330) 414-9471

Phone(330) 414-9471

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateApril 3, 2019

Last NPPES UpdateFebruary 27, 2026

NPPES CertifiedFebruary 27, 2026

✔ NPI 1235691882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in GA · A193129

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

677 CHURCH ST NE, Marietta, GA 30060

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Secondary Practice Location 1

Location 16801 Park Ter Ste 500Los Angeles, CA 90045-9212 · Phone (330) 414-9471

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

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

Dr. Jennifer Nicole Blanda Md 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 ID5294271664

PECOS Enrollment IDI20250815000925

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.

Hospital Affiliations CMS Care Compare 2

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110035

Location677 Church StreetMarietta, GA 30060 · Cobb County

Emergency services Birthing friendly

Wellstar North Fulton Hospital

Acute Care Hospitals · Roswell, GA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number110198

Location3000 Hospital BoulevardRoswell, GA 30076 · Fulton County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

JILLIAN MARIE BLALOCK DO

Emergency Medicine

677 CHURCH ST NE
MARIETTA, GA 30060

Cobb County (770) 793-5000

JAMIN GRAHAM MD

Student in an Organized Health Care Education/Training Program

677 CHURCH ST NE
MARIETTA, GA 30060

Cobb County (770) 793-5000

SAUMYA GURBANI MD, PHD

Student in an Organized Health Care Education/Training Program

677 CHURCH ST NE, ATTN: GME
MARIETTA, GA 30060

Cobb County (770) 793-7742

DR. HALEY PUCKETT LAWHORN MD

Student in an Organized Health Care Education/Training Program

677 CHURCH ST NE
MARIETTA, GA 30060

Cobb County (770) 793-5000

MRS. RHONDA KIM LEE NP-C

Registered Nurse (Wound Care)

677 CHURCH ST NE
MARIETTA, GA 30060

Cobb County (770) 793-7173

DEVIN HORTON CRNA

Nurse Anesthetist, Certified Registered

677 CHURCH ST NE
MARIETTA, GA 30060

Cobb County (770) 794-0477

BRITNEY ELIZABETH BECKETT

Student in an Organized Health Care Education/Training Program

677 CHURCH ST NE
MARIETTA, GA 30060

Cobb County (770) 793-5000

MS. EVELYN KAY HALE RN

Registered Nurse

677 CHURCH ST NE
MARIETTA, GA 30060

Cobb County (770) 793-9560

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 Jennifer Blanda's NPI number?

The NPI number for Jennifer Blanda is 1235691882. It was assigned to this individual provider in the NPPES registry on April 3, 2019.

Where is Jennifer Blanda located?

Jennifer Blanda practices at 677 Church St NE, Marietta, GA 30060. The listed phone number is (330) 414-9471.

What is Jennifer Blanda's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Jennifer Blanda enrolled in Medicare?

Yes. Jennifer Blanda 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.

What insurance does Jennifer Blanda accept?

Health plans from Alliant Health Plans, Inc. list Jennifer Blanda 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.

Is Jennifer Blanda affiliated with any hospitals?

According to CMS data, Jennifer Blanda is affiliated with Wellstar Kennestone Regional Medical Center and Wellstar North Fulton Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Blanda was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.