Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Heather Marie Blackburn, PA-C

Physician Assistant in Homerville, GA · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114910429

Verified

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Registry record

Entity type Individual (Type 1)

Name Heather Marie Blackburn

Credential PA-C

Sex Female

Practice address Clinch Memorial Hospital, 1050 Valdosta Hwy, Homerville, GA, 31634

Phone (912) 487-5211

Fax (912) 487-4332

Enumeration date Aug 23, 2005

Last updated in NPPES Aug 12, 2026

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 5518 (GA) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Heather Blackburn practice?

The practice location on file with NPPES is in Homerville, GA. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Heather Blackburn?

The National Provider Identifier (NPI) for Heather Blackburn is 1114910429, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-08-12.