Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Derek Blankenship, PA-C

Physician Assistant in Jackson, TN · enumerated 2015.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194106690

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Registry record

Entity type Individual (Type 1)

Name Derek Blankenship

Credential PA-C

Sex Male

Practice address 620 Skyline Dr, Jackson, TN, 38301

Phone (731) 541-6180

Enumeration date Jun 10, 2015

Last updated in NPPES Oct 5, 2015

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 2793 (TN) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Derek Blankenship?

The National Provider Identifier (NPI) for Derek Blankenship is 1194106690, a Type 1 (individual) record in the CMS NPPES registry.

Where does Derek Blankenship practice?

The practice location on file with NPPES is in Jackson, TN. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-10-05.