Dwight Denman Blake (NPI# 1811938814, PAC ID# 6002826427) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1811938814 |
| PAC ID by PECOS | 6002826427 |
| Professional Enrollment ID | I20060501000317 |
| Full Name | Dwight Denman Blake |
| Organization Legal Name | ROPHE ADULT AND PEDIATRIC MEDICINE |
| Address |
4910 Jonesboro Rd Suite 1 Union City GA 30291-2085 |
| Phone Number | 7709647736 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1984 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3476551961 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110115 | WELLSTAR ATLANTA MEDICAL CENTER |
| 110215 | PIEDMONT FAYETTE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4910 Jonesboro Rd, Suite 1, Union City, GA 30291-2085 | 7709647736 | ROPHE ADULT AND PEDIATRIC MEDICINE |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 89% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 95% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 89% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 10% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 6% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 39% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 54% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 61% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 62% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 54% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 43% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 98% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 80% |
| Organization Legal Name | ROPHE ADULT AND PEDIATRIC MEDICINE |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dionne Tehsheen Bravo | Nurse Practitioner | Rophe Adult and Pediatric Medicine | 4910 Jonesboro Rd, Suite 1, Union City, GA 30291-2085 |
| Yvonne L Smith | Internal Medicine | Rophe Adult and Pediatric Medicine | 4910 Jonesboro Rd, Suite 1, Union City, GA 30291-2085 |
| Nardia N Watson | Nurse Practitioner | Rophe Adult and Pediatric Medicine | 4910 Jonesboro Rd, Suite 1, Union City, GA 30291-2085 |
| Street Address |
4910 JONESBORO RD SUITE 1 |
| City | UNION CITY |
| State | GA |
| Zip | 30291-2085 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dionne Tehsheen Bravo | Nurse Practitioner | Rophe Adult and Pediatric Medicine | 4910 Jonesboro Rd, Suite 1, Union City, GA 30291-2085 |
| Yvonne L Smith | Internal Medicine | Rophe Adult and Pediatric Medicine | 4910 Jonesboro Rd, Suite 1, Union City, GA 30291-2085 |
| Nardia N Watson | Nurse Practitioner | Rophe Adult and Pediatric Medicine | 4910 Jonesboro Rd, Suite 1, Union City, GA 30291-2085 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth E Jones I | General Practice | Southside Medical Care | 6325 Shannon Pkwy, Suite D, Union City, GA 30291-1538 |
| Monique Nicole Batchelor | Optometry | 4735 Jonesboro Rd, Union City, GA 30291-1915 | |
| Fred O Osayi | Optometry | 4375 Jonesboro Rd, Union City, GA 30291-2001 | |
| Wanda Rainey Reed | Clinical Social Worker | Serenity Community Services | 4405 Mall Blvd, Suite 310, Union City, GA 30291-2070 |
| Lauryn Overstreet | Clinical Social Worker | Serenity Community Services | 4405 Mall Blvd, Suite 310, Union City, GA 30291-2070 |
| Melanie L. Ponder-wright | Clinical Social Worker | 4405 Mall Blvd, Union City, GA 30291-2070 | |
| Joan Don-pedro | Clinical Psychologist | Serenity Community Services | 4405 Mall Blvd, Union City, GA 30291-2070 |
| Lori Okun | Chiropractic | Dr Okun, PC | 6703 Shannon, Suite 14, Union City, GA 30291-2073 |
| Louis Okun | Chiropractic | Dr Okun, PC | 6703 Shannon, Suite 14, Union City, GA 30291-2073 |
| Rejina L Hendricksen | Chiropractic | Dr Okum, PC | 6703 Shannon, Suite 14, Union City, GA 30291-2073 |
| Find all physicians in zip 30291 | |||
| City | UNION CITY |
| Zip Code | 30291 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | UNION CITY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Dwight Denman 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.