Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Blake Family Medicine Pllc

Q: What type of organization is Blake Family Medicine Pllc?

Blake Family Medicine Pllc is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

Family Medicine Physician in Shallotte, NC · enumerated 2007 · authorized official John Blake, Owner.

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

National Provider Identifier

1295959310

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Registry record

Entity type Organization (Type 2)

Legal business name Blake Family Medicine Pllc

Practice address 4704 Main St, Shallotte, NC, 28470

Phone (910) 754-4545

Fax (910) 754-4794

Enumeration date Apr 12, 2007

Last updated in NPPES Sep 11, 2025

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 10868 (NC) Primary

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

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 103296 (NC) Secondary

Authorized official

Name John Blake

Title Owner

Phone (910) 754-4545

Other identifiers

Identifier	Type	State	Issuer
5902868	Medicaid	NC	-
017W4	Other	NC	BCBS GRP
55210	Other	NC	BCBS
185616	Other	NC	MEDCOST
858799	Other	NC	UHC

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 a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Blake Family Medicine Pllc?

Blake Family Medicine Pllc is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.