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

Individual provider Physician Assistant · NPI 1881024776

Ebony Blackmon, PA is a Physician Assistant in Atlanta, Georgia. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone: (404) 616-6419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1881024776
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 14, 2013
Last updated in NPPESNovember 14, 2013
Mailing address3817 Northumberland Dr, Louisville, KY 40245-1890

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