Individual provider Active NPI

Penny Blount, PA-C

  • Physician Assistant
  • Stockbridge, GA
National Provider Identifier
1841376530
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8963 Issued in GA
Practice address
290 Country Club Dr Ste 100
Stockbridge, GA 30281-9069
Phone
(678) 854-9500
Fax
(678) 854-9502
NPI assigned
Oct 27, 2006
Last updated
Mar 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 009035 NY
Physician Assistant 363A00000X 8963 GA Primary

Addresses

Primary practice location

290 Country Club Dr Ste 100
Stockbridge, GA 30281-9069

Mailing address

1800 Howell Mill Rd NW Ste 800
Attn Chief Compliance Officer
Atlanta, GA 30318-0922
Phone (404) 350-9853

Other practice location 1

775 Poplar Rd Ste 310
Newnan, GA 30265-8303
Phone (770) 251-2590

Other practice location 2

4877 Bill Gardner Pkwy
Locust Grove, GA 30248-3644
Phone (678) 399-7190

Other practice location 3

755 Mount Vernon Hwy NE Ste 320
Atlanta, GA 30328-4288
Phone (404) 350-8711

Other practice location 4

1267 Highway 54 W Ste 4200
Fayetteville, GA 30214-2112
Phone (678) 829-1060

Other practice location 5

1800 Howell Mill Rd NW Ste 800
Atlanta, GA 30318-0922
Phone (404) 350-9853

Other practice location 6

275 Collier Rd NW Ste 500
Atlanta, GA 30309-1711
Phone (404) 605-2800

Other practice location 7

11315 Johns Creek Pkwy Ste 220
Johns Creek, GA 30097-2645
Phone (678) 399-7187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200128003221 GA Practitioner - Physician Assistant 5294773552 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Piedmont Cancer Institute PCGroup PAC ID 9638167844, 43 clinicians
Piedmont Cardiology of Atlanta, LLCGroup PAC ID 0345321691, 478 clinicians

Practice addresses (Care Compare)

1240 Eagle Lndng Pkwy
Suite 260
Stockbridge, GA 30281-5173
Phone (678) 854-9500

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000

745 Poplar Rd
Newnan, GA 30265-1618
Phone (770) 253-1912

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Cancer Institute PC PastSince Aug 18, 2025 Accepting new patients
St Francis Hospital United States Catholic Conference Past Accepting new patients
Piedmont Cancer Institute PC Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1841376530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL RD NW STE 800",
            "address_2": "ATTN CHIEF COMPLIANCE OFFICER",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303180922",
            "telephone_number": "404-350-9853",
            "fax_number": "404-350-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 COUNTRY CLUB DR STE 100",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819069",
            "telephone_number": "678-854-9500",
            "fax_number": "678-854-9502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "775 Poplar Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302658303",
            "country_code": "US",
            "telephone_number": "770-251-2590",
            "fax_number": "770-251-1490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4877 Bill Gardner Pkwy",
            "address_purpose": "LOCATION",
            "city": "Locust Grove",
            "state": "GA",
            "postal_code": "302483644",
            "country_code": "US",
            "telephone_number": "678-399-7190",
            "fax_number": "678-399-7192",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "755 Mount Vernon Hwy NE Ste 320",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303284288",
            "country_code": "US",
            "telephone_number": "404-350-8711",
            "fax_number": "404-351-7550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1267 Highway 54 W Ste 4200",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302142112",
            "country_code": "US",
            "telephone_number": "678-829-1060",
            "fax_number": "678-829-1099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Howell Mill Rd NW Ste 800",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303180922",
            "country_code": "US",
            "telephone_number": "404-350-9853",
            "fax_number": "404-350-8407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 Collier Rd NW Ste 500",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303091711",
            "country_code": "US",
            "telephone_number": "404-605-2800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11315 Johns Creek Pkwy Ste 220",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300972645",
            "country_code": "US",
            "telephone_number": "678-399-7187",
            "fax_number": "678-399-7189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOUNT",
        "first_name": "PENNY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "009035",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "8963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.