Kizuwanda Blackburne, RPAC
NPI 1417020405ActiveIndividual· Physician Assistant· Stockbridge, GA
Physician Assistant (RPAC) with The Emory Clinic Inc, practicing in Stockbridge, Georgia. Their prescriptions cost Medicare Part D more than their services did: $99,941 for 1,445 claims, against $8,576 paid for services in 2024.
Overview
| NPI | 1417020405 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RPAC |
| Sole proprietor | No |
| NPI issued | Nov 16, 2006 |
| Last updated in NPPES | Apr 1, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 5126 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 92 |
|---|---|
| Services billed | 165 across 20 procedure codes |
| Paid by Medicare | $8,576 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,445 · 3,099 30-day fills |
|---|---|
| Patients | 279 |
| Total drug cost | $99,941 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- The Emory Clinic IncAtlanta, GA · 3,568 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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