Kayla Blalock-Brazile

Individual provider Active NPI Case Manager/Care Coordinator · Atlanta, GA

NPI 1467969642 · NPPES record last updated Apr 7, 2026

Key facts

NPI
1467969642
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
2805 Metropolitan Pkwy SW
Atlanta, GA 30315-7915
Phone
(404) 612-4111
NPI assigned
Jan 9, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

2805 Metropolitan Pkwy SW
Atlanta, GA 30315-7915

Mailing address

1611 Harbor Walk Ste 1611
Fairburn, GA 30213-3945

Other practice location 1

5900 W Chester Rd Ste C
West Chester, OH 45069-2951
Phone (513) 777-0017

Other providers in Atlanta, GA

All providers in Atlanta, GA · Case Manager/Care Coordinator in Georgia

Sources for this page

Verify at the official NPI Registry.