Active NPI
Penny Blount, PA-C
- Physician Assistant
- Stockbridge, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 8963
- 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, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
- Group practices
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 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Cancer Institute PC | Past | 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.
-
dba Peachtree Hematology Oncology Consultants
- Hematology & Oncology Physician
- Atlanta, GA
- NPI 1336180637
-
dba Piedmont Heart Institute
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
-
dba Peachtree Hematology-Oncology Consultants PC
- Community/Retail Pharmacy
- Atlanta, GA
- NPI 1831268606
-
dba St Francis Ekg
- General Acute Care Hospital
- Roslyn, NY
- NPI 1750439030
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.