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NPI · 1548263064 · NPPES-sourced

Dr. Wyatt Blake MD

ActiveFamily Medicine
NPI Number
1548263064
Type 1 · Individual
Taxonomy Code
207Q00000X
Contact
(478) 621-2100
License GA · 047702
Last Updated
Enumerated
Primary practice addressGA · 31032
1005 Boulder DrGray, GA 31032
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About this NPIWhat this record shows.

NPI 1548263064 is registered to Dr. Wyatt Blake MD, a Family Medicine practising at 1005 Boulder Dr in Gray, Georgia. Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment. Dr. Wyatt Blake MD has been enumerated in the National Provider Identifier (NPI) registry since 2005.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Other

  • 843785GA· Issued by BCBS OF GEORGIA
  • 080176614GA· Issued by RAILROAD MEDICARE
  • 047702GA· Issued by GA LICENSE

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Wyatt Blake MD accepts. To confirm in-network status with your specific health plan, contact Dr. Wyatt Blake MD directly at (478) 621-2100.

Frequently asked

Yes. NPI 1548263064 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (478) 621-2100.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Wyatt Blake MD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207Q00000X
Last updated
Enumerated
StatusActive
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10 records · same addressOther providers at this location.

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Same specialtyOther Family Medicine providers in Georgia.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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