Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKE FAMILY MEDICINE PLLC
Active OrganizationBLAKE FAMILY MEDICINE PLLC is a Family Medicine organization located in SHALLOTTE, North Carolina. NPI 1295959310 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SHALLOTTE, NC
Registration Details
- NPI Number
- 1295959310
- Provider Type
- Organization
- NPI Issued
- Apr 12, 2007 (19.159593801692 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
103290 (NC)103296 (NC)10868 (NC)
Practice Information
- Address
-
4704 MAIN STSHALLOTTE, NC, 284701880Browse NC providers · Browse ZIP 28470
- Phone
- 9107544545
- Fax
- 9107544794
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Family Medicine
Other Family Medicine Organizations in SHALLOTTE, NC
| Name | NPI |
|---|---|
| SHALLOTTE MEDICAL CENTER INC | 1609845049 |
| COLUMBUS FAMILY MEDICAL PA | 1114028859 |
| NOVANT HEALTH MEDICAL GROUP, LLC | 1710051123 |
| RALEIGH DURHAM MEDICAL GROUP, PA | 1720458326 |
| RDMG ASSOCIATES PA | 1689125858 |
| NOVANT HEALTH MEDICAL GROUP, LLC | 1609528215 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.