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Kizuwanda Blackburne, RPAC

Physician Assistant in Stockbridge, GA · enumerated 2006.

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

National Provider Identifier

1417020405

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Registry record

Entity type Individual (Type 1)
Name Kizuwanda Blackburne
Credential RPAC
Sex Female
Practice address 145 Eagles Walk, Suite A, Stockbridge, GA, 30281
Phone (770) 389-3855
Fax (770) 474-8078
Enumeration date Nov 16, 2006
Last updated in NPPES Apr 1, 2008

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 5126 (GA) Primary

Other identifiers

Identifier Type State Issuer
061407 Other GA BCBS OF GA GROUP #

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.

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Frequently asked questions

Where does Kizuwanda Blackburne practice?
The practice location on file with NPPES is in Stockbridge, GA. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Kizuwanda Blackburne?
The National Provider Identifier (NPI) for Kizuwanda Blackburne is 1417020405, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-01.