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John A Blake, PA-C

Physician Assistant in Shallotte, NC · enumerated 2007.

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

National Provider Identifier

1780726570

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Registry record

Entity type Individual (Type 1)
Name John A Blake
Credential PA-C
Sex Male
Practice address 712 Village Rd Sw Ste 104, Shallotte, NC, 28470
Phone (910) 754-7607
Fax (910) 754-7608
Enumeration date Feb 12, 2007
Last updated in NPPES Jun 3, 2019

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 103290NC (NC) 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.

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Frequently asked questions

What is the NPI number for John Blake?
The National Provider Identifier (NPI) for John Blake is 1780726570, a Type 1 (individual) record in the CMS NPPES registry.
Where does John Blake practice?
The practice location on file with NPPES is in Shallotte, NC. 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 2019-06-03.