NPI 1447234869 · live from the CMS NPI Registry
C Blake Aasgaard, PA
Physician Assistant in Decatur, GA. National Provider Identifier 1447234869, active.
NPI record
| NPI | 1447234869 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 1670 Clairmont Rd, Decatur, GA 30033 |
| Practice phone | 404-321-6111 |
| Mailing address | 1597 Lancaster Dr, Marietta, GA 30066 |
| Enumerated | November 30, 2005 |
| Last updated | July 13, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 02963 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.