Kizuwanda Blackburne, RPAC
NPI 1417020405 · Physician Assistant · Stockbridge, GA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kizuwanda Blackburne, RPAC is a Physician Assistant provider in Stockbridge, GA (NPI 1417020405).
Provider details
- NPI number
- 1417020405
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RPAC
- Sex
- Female
- Sole proprietor
- No
- License
- 5126 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
117 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 46 | $109 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 33 | $147 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 21 | $13 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 17 | $78 |
Typical Medicare-allowed amounts for these services range $13–$147 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 37 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 91 | 40 |
| Levothyroxine Sodium | 75 | 26 |
| Rosuvastatin Calcium | 67 | 29 |
| Atorvastatin Calcium | 46 | 19 |
| Gabapentin | 36 | 20 |
| Lisinopril | 33 | 12 |
| Hydrochlorothiazide |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-16
- Last updated
- 2008-04-01
Frequently asked questions
- What is Kizuwanda Blackburne's NPI number?
- Kizuwanda Blackburne's National Provider Identifier (NPI) is 1417020405, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kizuwanda Blackburne's specialty?
- Kizuwanda Blackburne is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kizuwanda Blackburne located?
- Kizuwanda Blackburne's practice location on file with NPPES is 145 Eagles Walk, Stockbridge, GA 30281-7340.
- What is Kizuwanda Blackburne's phone number?
- The practice phone number listed in the NPPES registry for Kizuwanda Blackburne is (770) 389-3855.
- Does Kizuwanda Blackburne accept Medicare?
- Kizuwanda Blackburne is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kizuwanda Blackburne's NPI active?
- Yes — Kizuwanda Blackburne's NPI (1417020405) is active in the NPPES registry as of the last update on 2008-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.