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EBONY BLACKMON PA
NPI 1881024776
Physician Assistant in Atlanta, GA

Active since November 14, 2013PECOS Enrolled
94.56/100
CMS Quality Rating
80 JESSE HILL JR DR SE, ATLANTA, GA 30303(404) 616-6419 Get Directions Write a Review

NPPES record last updated: November 14, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ebony Blackmon Pa NPPES

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

EBONY BLACKMON PA (NPI 1881024776) is an individual physician assistant in Atlanta, Georgia and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881024776
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameEBONY BLACKMONCredential: PA
Location Address80 JESSE HILL JR DR SEAtlanta, GA 30303-3031
Mailing Address3817 Northumberland DrLouisville, KY 40245-1890 · (502) 641-7689
Phone(404) 616-6419
Sole ProprietorNo
Enumeration DateNovember 14, 2013
✔ NPI 1881024776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
80 JESSE HILL JR DR SE, Atlanta, GA 30303
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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)

Ebony Blackmon Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

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. SHANNON WALKER IKE MD
Internal Medicine (Cardiovascular Disease)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 616-1000
KAYLA NIKEA HUGINE
Nurse Practitioner (Acute Care)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 616-1000
JAYALAKSHMI K RAO MD
Internal Medicine (Rheumatology)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 778-7717
DR. KAREN MICHELLE CURZIO PHARM.D.
Pharmacist
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 616-5404
DR. TELSIE A. DAVIS PH.D.
Psychologist (Clinical)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (678) 612-4210
ALICIA WONG LPC
Counselor (Mental Health)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 616-5317
SELENA KIM CAA
Anesthesiologist Assistant
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 616-1000
YEI TOKPAH
Anesthesiologist Assistant
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 616-5519

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 Ebony Blackmon's NPI number?

The NPI number for Ebony Blackmon is 1881024776. It was assigned to this individual provider in the NPPES registry on November 14, 2013.

Where is Ebony Blackmon located?

Ebony Blackmon practices at 80 Jesse Hill Jr Dr SE, Atlanta, GA 30303. The listed phone number is (404) 616-6419.

What is Ebony Blackmon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ebony Blackmon enrolled in Medicare?

Yes. Ebony Blackmon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ebony Blackmon was last updated on November 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.