ELIZABETH P BLACKWOOD NP
NPI 1528353364
Nurse Practitioner in Austell, GA
About Elizabeth P Blackwood Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH P BLACKWOOD NP (NPI 1528353364) is an individual nurse practitioner in Austell, Georgia, licensed in Georgia (RN144610) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of University Of Alabama School Of Medicine (2010).
NPPES Registry Identity
Specialties & Licenses
Other Names 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
Elizabeth P Blackwood Np 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 Elizabeth Blackwood reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Austell, GA 30106
- Reassigned Medicare billing, Georgia enrollment
- 353 clinicians in this Medicare group
Austell, GA 30106
- Reassigned Medicare billing, Georgia enrollment
- 3,885 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
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, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
AUSTELL, GA 30106
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 Elizabeth Blackwood's NPI number?
The NPI number for Elizabeth Blackwood is 1528353364. It was assigned to this individual provider in the NPPES registry on June 9, 2011. The provider is also known as Elizabeth Pangman.
Where is Elizabeth Blackwood located?
Elizabeth Blackwood practices at 3950 Austell Rd, Austell, GA 30106. The listed phone number is (770) 732-7000.
What is Elizabeth Blackwood's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Elizabeth Blackwood enrolled in Medicare?
Yes. Elizabeth Blackwood 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 Elizabeth Blackwood's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Blackwood reassigns Medicare benefits to 2 organizations: The Bortolazzo Group, LLC (Austell, GA) and Wellstar Medical Group, LLC (Austell, 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 Elizabeth Blackwood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elizabeth Blackwood accept?
Health plans from Alliant Health Plans, Inc. and Oscar Health list Elizabeth Blackwood 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 Elizabeth Blackwood affiliated with any hospitals?
According to CMS data, Elizabeth Blackwood is affiliated with Wellstar Kennestone Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Elizabeth Blackwood was last updated on June 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.
# Elizabeth P Blackwood, NP · NPI 1528353364
Nurse Practitioner physician in Austell, Georgia. Individual provider, active in the CMS NPPES registry since June 9, 2011.
## Identity
- **NPI:** 1528353364 (Entity type: Individual)
- **Enumerated:** June 9, 2011
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** RN144610 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3950 AUSTELL RD, Austell, GA 30106-1121
- **Phone:** (770) 732-7000
## 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): The Bortolazzo Group, LLC (NPI 1801965082, Austell, GA); Wellstar Medical Group, LLC (NPI 1154616845, Austell, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Alabama School Of Medicine, class of 2010
## Record status
- **NPPES last updated:** June 9, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1528353364) · Data from the CMS NPPES public registry.