DR. JENNIFER NICOLE BLANDA MD
NPI 1235691882
Orthopaedic Surgery - Sports Medicine in Marietta, GA
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
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Jennifer Blanda reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Marietta, GA 30060
- Reassigned Medicare billing, Georgia enrollment
- 3,885 clinicians in this Medicare group
Los Angeles, CA 90048
- Reassigned Medicare billing, California enrollment
- 2,118 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, GAWellstar North Fulton Hospital
Acute Care Hospitals · Roswell, GAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
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.
Which organizations bill Medicare for Jennifer Blanda's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Blanda reassigns Medicare benefits to 2 organizations: Wellstar Medical Group, LLC (Marietta, GA) and Cedars-Sinai Medical Care Foundation (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Blanda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jennifer Blanda accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers 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 8 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.
# Dr. Jennifer Nicole Blanda, MD · NPI 1235691882
Sports Medicine physician in Marietta, Georgia. Individual provider, active in the CMS NPPES registry since April 3, 2019.
## Identity
- **NPI:** 1235691882 (Entity type: Individual)
- **Enumerated:** April 3, 2019
- **Primary specialty:** Orthopaedic Surgery - Sports Medicine · taxonomy 207XX0005X
- **State license:** A193129 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 677 CHURCH ST NE, Marietta, GA 30060-1101
- **Phone:** (330) 414-9471
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Wellstar Medical Group, LLC (NPI 1083027320, Marietta, GA); Cedars-Sinai Medical Care Foundation (NPI 1316984388, Los Angeles, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** February 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1235691882) · Data from the CMS NPPES public registry.