Active NPI
Alicia Blanton, AA
- Anesthesiologist Assistant
- Atlanta, GA
National Provider Identifier
1376690644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 000757
- Practice address
- 5665 Peachtree Dunwoody Rd NE
Atlanta, GA 30342-1701 - Phone
- (404) 851-7324
- Fax
- (404) 843-2627
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 000757 | GA | Primary |
Addresses
Primary practice location
5665 Peachtree Dunwoody Rd NE
Atlanta, GA 30342-1701
Mailing address
5671 Peachtree Dunwoody Rd NE
Suite 530
Atlanta, GA 30342-5000
Phone (404) 257-1415
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00202837B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000757 | GA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196726400000",
"number": "1376690644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5671 PEACHTREE DUNWOODY RD NE",
"address_2": "SUITE 530",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303425000",
"telephone_number": "404-257-1415",
"fax_number": "404-851-1649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5665 PEACHTREE DUNWOODY RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421701",
"telephone_number": "404-851-7324",
"fax_number": "404-843-2627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANTON",
"first_name": "ALICIA",
"credential": "AA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2007-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "GA",
"license": "000757",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00202837B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.