Tammy Felicia Blackmon

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

RN196430 Issued in GA

Practice address

270 17TH St NW Unit 2501
Atlanta, GA 30363-1218

Phone

(678) 697-0844

NPI assigned

Jul 17, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1063853133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 17TH STREET STREET NW UNIT. 2501",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30363",
            "telephone_number": "678-697-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 17TH ST NW UNIT 2501",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303631218",
            "telephone_number": "678-697-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMON",
        "first_name": "TAMMY",
        "middle_name": "FELICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "RN196430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Blackmon, D.P.T.
• Ashley Blackmon, NP
• Ebony Blackmon, PA
• Marcy O Blackmon, CRNA
• Nikia Blackmon
• Lindsay Buechter Blackstock
• Amanda Juliette Blackwell, DPT
• Haley Blackwell
• Keriah Blackwell
• Laura Blackwell

• Gerontology Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Gerontology Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.