Individual provider · Type 1 NPI

Heather Marie Blackburn, PA-C

Physician Assistant · Homerville, GA

NPI number 1114910429 Active

Practice location

Clinch Memorial Hospital, 1050 Valdosta Hwy
Homerville, GA 31634

Fax (912) 487-4332

Mailing address

100 S Madison St
Thomasville, GA 31792-5473

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5518 (GA)

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, orde…

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About NPI 1114910429

Heather Marie Blackburn, PA-C's National Provider Identifier is 1114910429, issued on Aug 23, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Homerville, GA. The record was last updated on Aug 12, 2026.