Active NPI
Kevin Justin Jablonsky, RNFA
- Registered Nurse First Assistant
- Acworth, GA
National Provider Identifier
1952727042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- RN220938
- Practice address
- 6110 Cedarcrest Rd NW Ste 350-184
Acworth, GA 30101-9539 - Phone
- (470) 336-8190
- Fax
- (404) 464-0781
- NPI assigned
- Mar 12, 2014
- Last updated
- Mar 12, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | RN220938 | GA | Primary |
Addresses
Primary practice location
6110 Cedarcrest Rd NW Ste 350-184
Acworth, GA 30101-9539
Mailing address
1041 Savannah LN
Calera, AL 35040-5406
Phone (205) 250-9966
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN220938 | GA | MD | Registered Nurse First Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oasis Surgical Assistants L.L.C. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Registered Nurse First Assistant
- Mableton, GA
- NPI 1912561259
-
- Surgical Physician Assistant
- Powder Springs, GA
- NPI 1750740684
-
- Surgical Physician Assistant
- Acworth, GA
- NPI 1336561133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394582400000",
"number": "1952727042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1041 SAVANNAH LN",
"city": "CALERA",
"state": "AL",
"postal_code": "350405406",
"telephone_number": "205-250-9966",
"fax_number": "205-358-3103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6110 CEDARCREST RD NW STE 350-184",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301019539",
"telephone_number": "470-336-8190",
"fax_number": "404-464-0781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JABLONSKY",
"first_name": "KEVIN",
"middle_name": "JUSTIN",
"credential": "RNFA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-12",
"last_updated": "2014-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "GA",
"license": "RN220938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Acworth, GA
- Irishmen LLC (PraeCare)
- Charles Isbell, PMHNP-BC
- Destiny Murray Isbell, DMD
- J Chappell MD PC (Acworth Procedural Dermatology)
- J&F Solutions Management Group, LLC. (Mobility Cares)
- Jackson Family Therapy and Counseling
- Heather Jackson, MS, CCC-SLP
- Mary Sonya Jackson
- Channelle Ananda Jacques-Louis
- Shirley May James, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.