KELLY BLOUNT (NPI# 1194194290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194194290 |
| Entity Type | Individual |
| Full Name | KELLY BLOUNT |
| Credential | PA-C |
| Practice Address |
3515 Richland Ave Aiken SC 29801-6311 |
| Mailing Address |
Po Box 1705 Augusta GA 30903-1705 |
| Practice Telephone | 8036422626 |
| Practice Fax Number | 8036422960 |
| Mailing Telephone | 7067747263 |
| Mailing Fax Number | 7067747230 |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2019-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 107 Walnut Ln Ste 102, North Augusta, SC 298608629 | 8032027110 | 8032027111 |
| 325 Georgia Ave Ste 100, North Augusta, SC 298413848 | 8032023351 | 8038198532 |
| 447 N Belair Rd Ste 101, Evans, GA 308093091 | 7068542222 | 7068542226 |
| 925 Branch Ct Ste 101, Grovetown, GA 308133325 | 7063961199 | 7063961452 |
| 3486 Peach Orchard Rd Ste 200, Augusta, GA 309065215 | 7068288049 | 7068288048 |
| 3636 Wheeler Rd, Augusta, GA 309096626 | 7069226300 | |
| 1021 Silver Bluff Rd, Aiken, SC 298035879 | 8036480587 | 8036489846 |
| 4720 Washington Rd, Evans, GA 308096311 | 7066500111 | 7066511882 |
| 325 Georgia Ave Ste 200, North Augusta, SC 298413848 | 8034425750 | 8034425751 |
| 1023 Silver Bluff Rd, Aiken, SC 298035879 | 8035025515 | 8035025514 |
| 107 Walnut Ln Ste 101, North Augusta, SC 298608629 | 8032027159 | 8032027158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740211697 | Kelly A Blount | Optometrist | 429 S 3rd St, Gadsden, AL 35901-5210 | 2006-07-06 |
| 1972508828 | Kelly T Blount | Physician Assistant | 5603 Duraleigh Rd, Suite 111, Raleigh, NC 27612-2688 | 2005-06-16 |
| Street Address |
3515 RICHLAND AVE |
| City | AIKEN |
| State | SC |
| Zip Code | 29801-6311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902231095 | Timber Wages | Physician Assistant | 3515 Richland Ave, Aiken, SC 29801-6311 | 2013-09-07 |
| 1942787866 | James Langford IIi | Physician Assistant | 3515 Richland Ave, Aiken, SC 29801-6311 | 2018-07-24 |
| 1992299150 | Brandi Nicole Pleming | Nurse Practitioner | 3515 Richland Ave, Aiken, SC 29801 | 2018-06-20 |
| 1376938696 | Pranam Kokilakumar | Family Medicine | 3515 Richland Ave, Aiken, SC 29801 | 2015-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003457557 | Edwin Knight | Technician | 458 Wheat Rd, Aiken, SC 29801 | 2019-10-07 |
| 1669934469 | Julian Bogan | Counselor | 1135 Greg Hwy., Augusta, SC 29801 | 2019-04-02 |
| 1457820433 | Catherine Reddish | Home Health | 245 Hancock Rd Reddish Health Care Agency, Aiken, SC 29801 | 2018-11-19 |
| 1538653498 | Brenda Jean Jackson | Technician | 807 Dillon Ave, New Aiken, SC 29801 | 2018-06-14 |
| 1932649654 | Vageo Inc | Clinic/Center | 227 Chesterfiled St S, Aiken, SC 29801 | 2017-02-28 |
| 1629472550 | Andrea Ellis | Nurse Practitioner | 3525 Augustus Road, Agape Physicians Care, Aiken, SC 29801 | 2014-10-21 |
| 1699177782 | Joyce Walker Pompey | Registered Nurse | 471 University Parkway, Box 11, Aiken, SC 29801 | 2014-09-19 |
| 1578973251 | Rehab Without Walls, Inc. | Clinic/Center | 104 Florence St. Sw, Suite A, Aiken, SC 29801 | 2014-05-02 |
| 1609297571 | Katherine Delucas Duke | Counselor | 1135 Gregg Highway, Aiken, SC 29801 | 2013-12-19 |
| 1811328149 | Lynda Renee Green | Speech-Language Pathologist | 100 Bears Rock Rd., Aiken, SC 29801 | 2013-12-12 |
| Find all providers in zip 29801 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568572295 | Sonya J. Holston | Physician Assistant | 261 Edgefield Ave Nw, Aiken, SC 29801 | 2006-08-30 |
| 1972148708 | Robert Land | Physician Assistant | 216 Edgefield Ave Nw, Aiken, SC 29801-3910 | 2019-11-15 |
| 1942787866 | James Langford IIi | Physician Assistant | 3515 Richland Ave, Aiken, SC 29801-6311 | 2018-07-24 |
| 1477095164 | Luis G Valdes | Physician Assistant | 410 University Pkwy Ste 2310, Aiken, SC 29801 | 2016-11-10 |
| 1538526512 | Sarah Kathryn Riggs | Physician Assistant | 302 University Pkwy, Aiken, SC 29801-6302 | 2016-01-21 |
| 1578933057 | Patrick Almeter | Physician Assistant | 934 Dougherty Rd, Aiken, SC 29803-6515 | 2015-09-28 |
| 1598168833 | Lauren George | Physician Assistant | 118 Park Ave Sw, Suite 100, Aiken, SC 29801-3835 | 2014-10-01 |
| 1750668877 | Dorice R. Wilson | Physician Assistant | 302 University Pkwy, Aiken, SC 29801-6302 | 2011-11-03 |
| 1114222635 | William Kevin Higgins | Physician Assistant | 302 University Pkwy, Aiken, SC 29801-6302 | 2011-01-13 |
| 1255645362 | Stephen Rozier | Physician Assistant | 1520 Two Notch Rd Se, Aiken, SC 29803-5551 | 2010-07-30 |
| Find all providers in AIKEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.