Adrien Blackmon, D.A.

Primary specialty

Dental AssistantTaxonomy code 126800000X

Practice address

12420 Cumming Hwy
Ste 306
Canton, GA 30115-7568

Phone

(678) 947-3600

NPI assigned

Mar 14, 2014

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394755200000",
    "number": "1770909707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 BROOKWOOD TRL",
            "city": "WALESKA",
            "state": "GA",
            "postal_code": "301833175",
            "telephone_number": "404-735-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12420 CUMMING HWY",
            "address_2": "STE 306",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301157568",
            "telephone_number": "678-947-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMON",
        "first_name": "ADRIEN",
        "credential": "D.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-14",
        "last_updated": "2014-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasin Bhanji, MD
• Ravi Dinesh Bhatia, DO
• Scott L. Biddulph, R.PH.
• Benjamin Daniel Bird
• George Birdsong
• Wendy Blake, SLP
• Carli Jo Blomquist, MD.
• Blue Ridge Hospice, Inc.
• Bluesprig Autism
• Sara Elizabeth Bobo, NP

• Dental Assistant in Canton, GA
• Providers in Canton, GA by specialty
• Dental Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; 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.