Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JULIANNE BLACKBURN PA
NPI 1922991843
Physician Assistant in Gainesville, GA

Q: What is Julianne Blackburn's NPI number?

The NPI number for Julianne Blackburn is 1922991843. It was assigned to this individual provider in the NPPES registry on May 30, 2025.

Q: What is Julianne Blackburn's specialty?

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

Active since May 30, 2025PECOS Enrolled

1439 JESSE JEWELL PKWY NE STE 201, GAINESVILLE, GA 30501(770) 219-0023 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2026, Jun 1, 2026, May 30, 2025 (3 updates tracked since 2025).

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About Julianne Blackburn Pa NPPES

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

JULIANNE BLACKBURN PA (NPI 1922991843) is an individual physician assistant in Gainesville, Georgia, licensed in Georgia (13243) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Austell, and is a graduate of Mercer University School Of Medicine (2025).

NPPES Registry Identity

NPI1922991843

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJULIANNE BLACKBURNCredential: PA

Location Address1439 JESSE JEWELL PKWY NE STE 201Gainesville, GA 30501-3806

Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420

Phone(770) 219-0023

Sole ProprietorNo

Medical School CMSMercer University School Of MedicineGraduated 2025

Enumeration DateMay 30, 2025

Last NPPES UpdateJuly 9, 20263 updates tracked since enumeration

NPPES CertifiedJuly 9, 2026

✔ NPI 1922991843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in GA · 13243

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1439 JESSE JEWELL PKWY NE STE 201, Gainesville, GA 30501

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Secondary Practice Location 1

Location 13950 Austell RdAustell, GA 30106-1121 · Phone (470) 732-4000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Julianne Blackburn Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123526100

PECOS Enrollment IDI20250808002791

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 30501 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

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.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANY ALEXANDRA FREUND MARAVANKIN MD

Family Medicine