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Active NPI 1538353057 Individual Practitioner Female Practitioner

Daphne Reene Blakley , PA-C

Physician Assistant • Marietta, GA

Professional Overview & Biography Verified Profile Summary

Daphne Blakley, PA-C is a registered healthcare professional specializing in Physician Assistant in Marietta, GA. Practice services are available at 45 SOUTH AVE SE STE 5 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

45 South Ave Se Ste 5

Marietta, GA 300602538

Telephone 9193917202
Associated Practice Facility / Clinic
🏢 Animo Sano Psychiatry Pllc Facility NPI 1568043537

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Marietta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.6 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
210 Specialists

Practicing in Marietta, GA (4726 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
79 28 $349.00 $119.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
19 17 $246.00 $80.50

Medical Specialties & State Licenses

CMS Verified: 2026-08-01
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MO 2024033212

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License GA 004396

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.

Secondary Practice Locations

5501 Fortunes Ridge Dr Ste P

Durham, NC 277136102

Phone: 9193917202

100 S 4th St Ste 550

Saint Louis, MO 631021897

Phone: 9193917202

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Joanna Harrelson , PA-C

Physician Assistant

NPI 1013898394

Physician Assistant (Certified)

Jordan Espersen , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1023685716

Psychiatric-Mental Health Nurse Practitioner

Sydney Johnston , PA-C

Physician Assistant

NPI 1023798808

Physician Assistant (Certified)

Tosha Marquardt , PA-C

Physician Assistant

NPI 1033103981

Physician Assistant (Certified)

Jamilah Broderick , PA-C

Physician Assistant

NPI 1033873294

Physician Assistant (Certified)

Daniel Pennington

Physician Assistant

NPI 1033938022

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location August 01, 2026

Registered at 45 SOUTH AVE SE STE 5, MARIETTA, GA 300602538 (Tel: 9193917202)

📍
Updated Business Mailing Address August 01, 2026

Registered at 45 SOUTH AVE SE STE 5, MARIETTA, GA 300602538 (Tel: 9193917202)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2026

Physician Assistant (License #2024033212 in MO)

📍
Updated Practice Location November 06, 2024

Registered at 3 HOSPITAL DR, COLUMBIA, MO 652120001 (Tel: 5738828913)

📍
Updated Business Mailing Address November 06, 2024

Registered at PO BOX 843966, KANSAS CITY, MO 641843966 (Tel: 5738843300)

NPI Profile Active August 28, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location August 28, 2007

Registered at 80 JESSE HILL JR DR SE, GEORGIA COMPREHENSIVE SICKLE CELL CENTER AT GRADY, ATLANTA, GA 303033031 (Tel: 4046167494)

📍
Updated Business Mailing Address August 28, 2007

Registered at 215 MANOR OAK WAY, STOCKBRIDGE, GA 302811165 (Tel: 7705062815)

👤
Provider Name / Credentials Updated August 28, 2007

Recorded as DAPHNE BLAKLEY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2007

Physician Assistant (License #004396 in GA)

🟢
Initial NPI Registration & Enumeration August 28, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538353057
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2007
Last Update: August 01, 2026
Sole Proprietor: No

Mailing Address

45 South Ave Se Ste 5

Marietta, GA 300602538

Phone: 9193917202

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.