MEDICARE: PENNY BLOUNT RPA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	009035	NY
2	363A00000X	Physician Assistant	8963	GA

General Provider Information

NPI Number	:	1841376530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PENNY BLOUNT RPA

Provider Business Mailing Address
First Line	:	275 COLLIER RD NW STE 500
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-1711
Country	:	US
Telephone Number	:	404-605-2800
Fax Number	:

Provider Business Practice Location Address
First Line	:	275 COLLIER RD NW STE 500
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-1711
Country	:	US
Telephone Number	:	404-605-2800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	09/23/2019

Similar Medicare Providers

1780002725 — TINA VARGHESE
Practice Location Address:

275 COLLIER RD NW STE 500
ATLANTA, GA
30309-1711

Practice Phone: 404-605-2800
Practice Fax:

1144240219 — BRUCE S STAMBLER MD
Practice Location Address:

275 COLLIER ROAD, NW , SUITE 500
ATLANTA, GA
30309-1711

Practice Phone: 216-844-8500
Practice Fax:

1477569358 — DR. LOUIS L. BATTEY MD
Practice Location Address:

275 COLLIER RD NW STE 500
ATLANTA, GA
30309-1711

Practice Phone: 404-605-2800
Practice Fax:

1306043302 — CARRIE DANIELLE LAWSON M.D.
Practice Location Address:

275 COLLIER RD , SUITE 100-A
ATLANTA, GA
30309-1711

Practice Phone: 404-352-1235
Practice Fax:

1598955544 — SANDEEP K GOYAL MD
Practice Location Address:

275 COLLIER ROAD , SUITE 500
ATLANTA, GA
30309-1711

Practice Phone: 404-605-2800
Practice Fax: 404-351-5983

1275729691 — PIEDMONT CARDIOLOGY OF ATLANTA, LLC
Practice Location Address:

275 COLLIER ROAD , SUITE 300
ATLANTA, GA
30309-1711

Practice Phone: 404-605-2800
Practice Fax: 404-351-5983

Directions to “ PENNY BLOUNT RPA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.