John A Blake (NPI# 1780726570, PAC ID# 1658332325) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1780726570 |
| PAC ID by PECOS | 1658332325 |
| Professional Enrollment ID | I20041105000347 |
| Full Name | John A Blake |
| Organization Legal Name | COLUMBUS FAMILY MEDICAL PA |
| Address |
800 Jefferson St Suite 112 Whiteville NC 28472-3702 |
| Phone Number | 9106429800 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2001 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2769568492 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340158 | NOVANT HEALTH BRUNSWICK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 27001 Andrew Jackson Hwy E, Delco, NC 28436-9221 | 9106550698 | COMMUNITY SUPPORT AGENCY, LLC |
| 800 Jefferson St, Suite 112, Whiteville, NC 28472-3702 | 9106429800 | COLUMBUS FAMILY MEDICAL PA |
| Organization Legal Name | COLUMBUS FAMILY MEDICAL PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen Murphy | Physician Assistant | Columbus Family Medical Pa | 9869 Ocean Hwy W, Suite 10, Calabash, NC 28467-2636 |
| Meki Jacobs Graham | Nurse Practitioner | Columbus Family Medical Pa | 712 Village Rd Sw, Suite 104, Shallotte, NC 28470-3449 |
| Cathy M Sellers | Nurse Practitioner | Columbus Family Medical Pa | 1424 S Jk Powell Blvd, Whiteville, NC 28472-9167 |
| Kathy H Walker | Physician Assistant | Columbus Family Medical Pa | 9869 Ocean Hwy W, Suite 10, Calabash, NC 28467-2636 |
| Street Address |
800 JEFFERSON ST SUITE 112 |
| City | WHITEVILLE |
| State | NC |
| Zip | 28472-3702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James M Benzschawel | Chiropractic | 800 Jefferson St, Algoma, WI 54201-1774 | |
| James Mccabe | Nephrology | Southeastern Nephrology Associates Pllc | 800 Jefferson St, Suite 107, Whiteville, NC 28472-3702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clyde A Epps | Physician Assistant | Dry Bones Counseling Services Pllc | 109 W Nance St, Whiteville, NC 28472-2615 |
| Michele Annette Girard | Clinical Social Worker | Dry Bones Counseling Services Pllc | 109 W Nance St, Whiteville, NC 28472-2615 |
| Richard C Fleming | Internal Medicine | 116 Memory Plaza Washington St, Whiteville, NC 28472-2640 | |
| Angel L Vazquez | Psychiatry | Rha Behavioral Health Nc LLC | 603 Pecan Ln, Whiteville, NC 28472-2949 |
| Diane White | Internal Medicine | Allied Behavioral Management, Inc. | 603 Pecan Ln, Whiteville, NC 28472-2949 |
| Nicole H Britt | Nurse Practitioner | North Whiteville Urgent Care and Family Practice Pa | 614 N Jk Powell Blvd, Whiteville, NC 28472-3008 |
| Nathan Jarrett Norris | Physical Therapy | Renew Health and Physical Therapy, LLC | 812 Pinckney St, Whiteville, NC 28472-3308 |
| Micah G Merritt | Physical Therapy | Renew Health and Physical Therapy, LLC | 812 Pinckney St, Whiteville, NC 28472-3308 |
| Krystie N Price Butler | Physical Therapy | Renew Health and Physical Therapy, LLC | 812 Pinckney St, Whiteville, NC 28472-3308 |
| Michael L Cahn | General Surgery | 611 N Madison St, Whiteville, NC 28472-3309 | |
| Find all physicians in zip 28472 | |||
| City | WHITEVILLE |
| Zip Code | 28472 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WHITEVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on John A Blake.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.