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LAURA BLACKWELL
NPI 1689048076
Clinical Neuropsychologist in Atlanta, GA

Active since November 23, 2015PECOS Enrolled
5455 MERIDIAN MARKS RD STE 180, ATLANTA, GA 30342(404) 785-2849 Get Directions Write a Review

NPPES record last updated: November 23, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Laura Blackwell NPPES

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

LAURA BLACKWELL (NPI 1689048076) is an individual clinical neuropsychologist in Atlanta, Georgia, licensed in Georgia (PSY003941) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689048076
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameLAURA BLACKWELL
Location Address5455 MERIDIAN MARKS RD STE 180Atlanta, GA 30342-4716
Mailing Address986 Rosedale Rd NeAtlanta, GA 30306-4831 · (978) 621-2219
Phone(404) 785-2849
Sole ProprietorYes
Enumeration DateNovember 23, 2015
✔ NPI 1689048076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in GA · PSY003941
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
5455 MERIDIAN MARKS RD STE 180, Atlanta, GA 30342
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laura Blackwell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Laura Blackwell's NPI number?

The NPI number for Laura Blackwell is 1689048076. It was assigned to this individual provider in the NPPES registry on November 23, 2015.

Where is Laura Blackwell located?

Laura Blackwell practices at 5455 Meridian Marks Rd Ste 180, Atlanta, GA 30342. The listed phone number is (404) 785-2849.

What is Laura Blackwell's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Laura Blackwell enrolled in Medicare?

Yes. Laura Blackwell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Laura Blackwell was last updated on November 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.