Doctor profile · Federal record
Dr. Kizuwanda Blackburne, RPAC
Physician Assistant · Stockbridge, GA
- NPI 1417020405
- Accepts Medicare
- MIPS 86.9 / 100 · 2023
- 22 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
145 Eagles Walk, Suite A
Stockbridge, GA 302817340
(770) 389-3855
fax (770) 474-8078
Credentials & registration
- NPI registered
- November 2006 — 20 yrs on file
- Profile last updated
- April 1, 2008
- Year of graduation
- 2004 — 22 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Georgia #5126
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1417020405. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
115
Distinct HCPCS
3
Medicare allowed
$11,895
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 84 | 68 | $109 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 19 | 18 | $77 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 12 | 12 | $110 |
In context: peer comparison
Among 7 peers in Stockbridge Physician Assistant, average services per provider: 61. This provider delivers 1.9× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
709
Patients
276
Total drug cost
$7,241
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amlodipine Besylate | Generic | 92 | 40 | $521 |
| Rosuvastatin Calcium | Generic | 82 | 27 | $1,033 |
| Levothyroxine Sodium | Generic | 76 | 25 | $1,299 |
| Atorvastatin Calcium | Generic | 62 | 28 | $542 |
| Fluticasone Propionate | Generic | 49 | 32 | $573 |
| Alendronate Sodium | Generic | 46 | 0 | $313 |
| Meloxicam | Generic | 43 | 18 | $112 |
| Lisinopril | Generic | 42 | 16 | $309 |
| Losartan Potassium | Generic | 34 | 15 | $418 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 32 | 13 | $890 |
Frequently asked questions
What is Dr. Kizuwanda Blackburne's medical specialty?
Dr. Kizuwanda Blackburne practices Physician Assistant in Stockbridge, GA.
Where does Dr. Kizuwanda Blackburne practice?
Dr. Kizuwanda Blackburne practices at 145 Eagles Walk, Stockbridge, GA 302817340. Office phone: 7703893855.
What is Dr. Kizuwanda Blackburne's NPI?
Dr. Kizuwanda Blackburne's National Provider Identifier (NPI) is 1417020405, issued by NPPES.
Does Dr. Kizuwanda Blackburne accept Medicare assignment?
Yes. Dr. Kizuwanda Blackburne accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kizuwanda Blackburne commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.