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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.

MR. BLAKE THOMAS BJORNSTAD PA-AA
NPI 1417843277
Anesthesiologist Assistant in Stockbridge, GA

Active since June 17, 2025
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281(678) 604-1053 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 27, 2026, Oct 12, 2025, Jun 17, 2025 (3 updates tracked since 2025).

About Mr. Blake Thomas Bjornstad Pa-aa NPPES

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

MR. BLAKE THOMAS BJORNSTAD PA-AA (NPI 1417843277) is an individual anesthesiologist assistant in Stockbridge, Georgia, licensed in Georgia (13448) and active in the NPI registry since June 2025. He is affiliated with Northside Hospital Cherokee, maintains a secondary practice location in Atlanta, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1417843277
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameMR. BLAKE THOMAS BJORNSTADCredential: PA-AA
Location Address1133 EAGLES LANDING PKWYStockbridge, GA 30281-5085
Mailing Address1000 Johnson Ferry RdAtlanta, GA 30342-1606 · (404) 851-8917 · Fax (404) 303-3636
Phone(678) 604-1053
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 17, 2025
Last NPPES UpdateAugust 27, 20263 updates tracked since enumeration
NPPES CertifiedAugust 27, 2026
✔ NPI 1417843277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in GA · 13448
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
1133 EAGLES LANDING PKWY, Stockbridge, GA 30281
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Secondary Practice Location 1

Location 11000 Johnson Ferry RdAtlanta, GA 30342-1606 · Phone (404) 851-8917 · Fax (404) 303-3636

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Blake Thomas Bjornstad Pa-aa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103314141
PECOS Enrollment IDI20251022002182

Medicare Billing Reassignments

3

Medicare enrollment records show Blake Bjornstad reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Piedmont Anesthesia LLC
Same address
Anesthesiology
1133 EAGLES LANDING PKWY
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 713 clinicians in this Medicare group
NPI 1700474244 (678) 604-1053
Gi Anesthesia Of Georgia LLC
61 mi
Nurse Anesthetist, Certified Registered
1955 TEXTILE WAY
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 489 clinicians in this Medicare group
NPI 1326569187 (404) 888-7575
Coastal Ambulatory Anesthesia LLC
209 mi
Anesthesiology
1139 LEXINGTON AVE
Savannah, GA 31404
  • Reassigned Medicare billing, Georgia enrollment
  • 468 clinicians in this Medicare group
NPI 1750753786 (912) 429-9020

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.

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
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.

DR. BRIGITTE VANLE MD
Emergency Medicine
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Henry County (678) 604-1000
JOSHUA A KING MD
Internal Medicine
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Henry County (678) 604-5901
IVANA LESLIE SIMPSON COLEMAN M.D.
Obstetrics & Gynecology
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Henry County (678) 604-1000
ROMIN PATEL
Nurse Practitioner (Family)
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Henry County (000) 000-0000
JEROD SCOTT BELL RN
Registered Nurse (Administrator)
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Henry County (678) 604-1736
JONATHAN MITCHELL CRNA
Nurse Anesthetist, Certified Registered
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Henry County (678) 604-1053
DEEPA NANKANI M.D
Hospitalist
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Henry County (404) 367-3014
DR. TERRY KY-SIEU TRAN MD
Emergency Medicine
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Henry County (678) 604-1000

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 Blake Bjornstad's NPI number?

The NPI number for Blake Bjornstad is 1417843277. It was assigned to this individual provider in the NPPES registry on June 17, 2025.

Where is Blake Bjornstad located?

Blake Bjornstad practices at 1133 Eagles Landing Pkwy, Stockbridge, GA 30281. The listed phone number is (678) 604-1053.

What is Blake Bjornstad's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Blake Bjornstad enrolled in Medicare?

Yes. Blake Bjornstad is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Blake Bjornstad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blake Bjornstad reassigns Medicare benefits to 3 organizations: Piedmont Anesthesia LLC (Stockbridge, GA), Gi Anesthesia Of Georgia LLC (Gainesville, GA) and Coastal Ambulatory Anesthesia LLC (Savannah, GA). 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 Blake Bjornstad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Blake Bjornstad affiliated with any hospitals?

According to CMS data, Blake Bjornstad is affiliated with Northside Hospital Cherokee and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Blake Bjornstad was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 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.