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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Wyatt Kenny Blake, MD

Family Medicine Physician in Gray, GA · enumerated 2005 · practices at Community Primary Care of Georgia LLC.

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

National Provider Identifier

1548263064

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Registry record

Entity type Individual (Type 1)
Name Dr. Wyatt Kenny Blake
Credential MD
Sex Male
Practice address 1005 Boulder Dr, Gray, GA, 31032
Phone (478) 621-2100
Fax (478) 744-0481
Enumeration date May 30, 2005
Last updated in NPPES Jul 17, 2019

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 047702 (GA) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
000909114E Medicaid GA -
843785 Other GA BCBS OF GEORGIA
080176614 Other GA RAILROAD MEDICARE
047702 Other GA GA LICENSE

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.

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Frequently asked questions

How do I verify Wyatt Blake's NPI record?
Cross-check NPI 1548263064 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1548263064 active?
Yes, as of the latest NPPES snapshot, NPI 1548263064 is active (record last updated 2019-07-17).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-07-17.