Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeannie Blom MD PC

Organization Physical Medicine & Rehabilitation Physician · NPI 1144530155

Jeannie Blom MD PC is a Physical Medicine & Rehabilitation Physician in Decatur, Georgia. Licensed in Georgia. Registered with an NPI since 2010.

Licensed in
GA
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2722 N Decatur
Decatur, GA 30033
Phone: (404) 849-3443
Fax: (404) 467-1004
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 041517 (GA)

Record details

NPI number1144530155
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeannie Blom — Ceo · (404) 849-3443
Other names Jeannie-In-A-Bottle
NPI enumeratedOctober 13, 2010
Last updated in NPPESDecember 6, 2012
Mailing addressPo Box 190218, Atlanta, GA 31119-0218

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