NPI age
12 years
Enumerated 2013-11-14
● Active
Type 1 · Individual
Ebony Blackmon, PA
Blackmon is 1 of 1157 physician assistant providers in Atlanta and 1 of 4616 in Georgia.
Primary specialty
Physician Assistant
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2013-11-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 4616 active physician assistant providers in Georgia.
NPI age
12 years
↑ 4 yr above median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties
NPI lifetime · 2013 → 2026
2013-11Enumerated in NPPES
2013
2026
Where they practice
Practice location
80 Jesse Hill JR Dr Se
Atlanta, GA 303033031
Mailing address
3817 Northumberland Dr
Louisville, KY 402451890
Specialties
-
Physician Assistant PrimaryA 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...
Practice context
Part of a multi-provider practice. 851 other active providers share this practice address in NPPES.
Recently enumerated nearby: 46 new physician assistant providers have been added in Atlanta in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.