Individual provider · Type 1 NPI

Tameka Blackmon, REGISTERED NURSE

Home Health Agency · Stone Mountain, GA

NPI number 1417896895 Active

Practice location

389 Wynbrooke Pkwy
Stone Mountain, GA 30087-4763

Call (404) 449-7185 Map

Mailing address

508 Wynbrooke Pkwy
Stone Mountain, GA 30087-4766

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	RN323944

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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About NPI 1417896895

Tameka Blackmon, REGISTERED NURSE's National Provider Identifier is 1417896895, issued on Mar 27, 2026. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Stone Mountain, GA. The record was last updated on Mar 27, 2026.