Free National NPI Number Registry

Dr. Wyatt Kenny Blake

Home >Dr. Wyatt Kenny Blake

 

NPI Number Detailed Information

Provider Information:

Name: Dr. Wyatt Kenny Blake
Gender: M
Provider License Number If Given: 47702

NPI Information:

NPI: 1548263064
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/30/2005

Last Update Date: 7/17/2019

Reputation Report:

Provider Business Mailing Address:

Address: 1005 BOULDER DR
Gray, GA 31032
Phone Number: 4786212100
Fax Number: 4787440481

Provider Business Practice Location Address:

Address: 1005 BOULDER DR
Gray, GA 31032
Phone Number: 4786212100
Fax Number: 4787440481

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any):
State: GA

Top Doctors in GA

 

About Dr. Wyatt Kenny Blake

Dr. Wyatt Kenny Blake (DR. WYATT KENNY BLAKE ) is Family Family Medicine Physician in Gray, GA. The NPI Number for Dr. Wyatt Kenny Blake is 1548263064.
The current location address for Dr. Wyatt Kenny Blake is 1005 BOULDER DR Gray, GA 31032 and the contact number is 4786212100 and fax number is 4787440481. The mailing address for Dr. Wyatt Kenny Blake is 1005 BOULDER DR Gray, GA 31032- 4786212100 (mailing address contact number - 4786212100).
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Wyatt Kenny Blake ?


Answer: The NPI Number for Dr. Wyatt Kenny Blake is 1548263064

Where is Dr. Wyatt Kenny Blake located?


Answer: Dr. Wyatt Kenny Blake is located at 1005 BOULDER DR Gray, GA 31032.

What is the specialty for Dr. Wyatt Kenny Blake ?


Answer: The Specialty of Dr. Wyatt Kenny Blake is Family Family Medicine Physician.

Are there any online reviews for Dr. Wyatt Kenny Blake ?


Answer: Yes! Check It Now.

Are there any other health care providers in Gray, GA?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Wyatt Kenny Blake

Number of HCPCS 7
Number of Medicare Beneficiaries 461
Number of Services 2034
Total Submitted Charge Amount 243430.53
Total Medicare Allowed Amount 193316.07
Total Medicare Payment Amount 141949.22
Total Medicare Standardized Payment Amount 144344.68
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 7
Number of Medicare Beneficiaries With Medical 461
Number of Medical Services 2034
Total Medical Submitted Charge Amount 243430.53
Total Medical Medicare Allowed Amount 193316.07
Total Medical Medicare Payment Amount 141949.22
Total Medical Medicare Standardized Payment Amount 144344.68
Average Age of Beneficiaries 80
Number of Beneficiaries Age Less 65 31
Number of Beneficiaries Age 65 to 74 89
Number of Beneficiaries Age 75 to 84 179
Number of Beneficiaries Age Greater 84 162
Number of Female Beneficiaries 311
Number of Male Beneficiaries 150
Number of Non-Hispanic White Beneficiaries 416
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 348
Number of Beneficiaries With Medicare Only Entitlement 113
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.24
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.74
Percent (%) of Beneficiaries Identified With Asthma 0.05
Percent (%) of Beneficiaries Identified With Cancer 0.05
Percent (%) of Beneficiaries Identified With Heart Failure 0.56
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.66
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.36
Percent (%) of Beneficiaries Identified With Depression 0.45
Percent (%) of Beneficiaries Identified With Diabetes 0.49
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.62
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.55
Percent (%) of Beneficiaries Identified With Osteoporosis 0.08
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.44
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.15
Percent (%) of Beneficiaries Identified With Stroke 0.13
Average HCC Risk Score of Beneficiaries 2.2881

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Emergency Medicine
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 123953
Number of Standardized 30-Day Fills 124057
Aggregate Cost Paid for All Claims 2624407.4
Number of Day's Supply for All Claims 956955
Number of Medicare Beneficiaries 711
Number of Claims, Including Refills, for Beneficiaries Age 65+ 114609
Including Refills, for Beneficiaries Age 65+ 114703.73333
Beneficiaries Age 65+ 2348548.91
Number of Day's Supply for All Claims for Beneficaries Age 65+ 882611
Number of Medicare Beneficiaries Age 65+ 652
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 13469
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 110436
Aggregate Cost Paid for Generic Drugs 1072911.84
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 48
Aggregate Cost Paid for Other Drugs 1200.44
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 30347
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 659946.17
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 93606
Aggregate Cost Paid for Claims Filled by 1964461.23
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 117041
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 2476202.29
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 6912
by Low-Income Subsidy 148205.11
Total Claims of Opioid Drugs, Including 3267
Aggregate Cost Paid for Opioid Drugs 56569.39
Opioid Claims 290
Opioid_Tot_Clms divided by the Tot_Clms 2.6356764257
Total Claims of Long-Acting Opioid Drugs 239
Aggregate Cost Paid for Long-Acting Opioid 15205.92
Number of Day's Supply of All Long-Acting 3636
Long-Acting Opioid Claims 21
Opioid_LA_Tot_Clms divided by the 7.3155800429
Total Claims of Antibiotic Drugs, Including 910
Aggregate Cost Paid for Antibiotic Drugs 29304.35
Antibiotic Claims 300
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 4273
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 69543.65
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 165
Average Age of Beneficiaries 79.111111111
Number of Beneficiaries Age Less Than 65 59
Number of Beneficiaries Age 65 to 74 157
Number of Beneficiaries Age 75 to 84 263
Number of Female Beneficiaries 481
Number of Male Beneficiaries 230
Number of Non-Hispanic White 558
Number of Black or African American 143
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 119
Average Hierarchical Condition Category 2.4024757361

More Providers in gray , ga

Mrs. Debra B Paschal
Nurse Practitioner
NPI Number: 1831149319
Address: 260 W CLINTON ST Gray, GA 31032 , Phone: 4789864743
Coliseum Health Group Llc
Family Medicine Physician
NPI Number: 1154363745
Address: 110 STONE BROOKE DR Gray, GA 31032 , Phone: 4789864743
Jones County Nursing Home Llc
Skilled Nursing Facility
NPI Number: 1043253172
Address: 302 GEORGIA 18 E Gray, GA 31032 , Phone: 4789863151
Lynn Haven Nursing Home Llc
Skilled Nursing Facility
NPI Number: 1346279544
Address: 747 MONTICELLO HWY Gray, GA 31032 , Phone: 4789863196
Jill Huckeba
Professional Counselor
NPI Number: 1407873375
Address: 1525 MONTICELLO HWY Gray, GA 31032 , Phone: 4789861691
Dianna Lynn White
Family Nurse Practitioner
NPI Number: 1578584256
Address: 1005 BOULDER DR Gray, GA 31032 , Phone: 4786212072
Meredi A Anders
Family Medicine Physician
NPI Number: 1477560555
Address: 4292 GRAY HWY Gray, GA 31032 , Phone: 4788643448
Jones County Health Department
Public Health or Welfare Agency
NPI Number: 1861403586
Address: 114 FOREST ST Gray, GA 31032 , Phone: 4789863164
Gray Dental Associates
General Practice Dentistry
NPI Number: 1033120381
Address: 242 W CLINTON ST Gray, GA 31032 , Phone: 4789866821
Dr. Thomas Griffin III
General Practice Dentistry
NPI Number: 1952312274
Address: 242 W CLINTON ST Gray, GA 31032 , Phone: 4789866821
Dr. Kara Griffin Moore
General Practice Dentistry
NPI Number: 1295746501
Address: 242 W CLINTON ST Gray, GA 31032 , Phone: 4789866821
Nra-Gray, Georgia, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Number: 1831272186
Address: 1002 BOULDER DR. Gray, GA 31032 , Phone: 6157714400
Miller & Son Personal Care Home, Inc.
Assisted Living Facility
NPI Number: 1760568505
Address: 136 SALEM CHURCH MILLER RD Gray, GA 31032 , Phone: 4789321008
Dr. Thomas H Sachy
Forensic Psychiatry Physician
NPI Number: 1962572511
Address: 247 LANA DRIVE Gray, GA 31032 , Phone: 4789860484
Mj Pharmacy Services Inc
Community/Retail Pharmacy
NPI Number: 1023182490
Address: 236 W CLINTON ST Gray, GA 31032 , Phone: 4789864827
River Edge Behavioral Health Center
Community/Behavioral Health Agency
NPI Number: 1154481505
Address: 530 SETTLEMENT RD STE. A Gray, GA 31032 , Phone: 4787514519
River Edge Behavorial Health Center
Community/Behavioral Health Agency
NPI Number: 1245399666
Address: 110 MAGGIE CALIFF ST Gray, GA 31032 , Phone: 4787514519
River Edge Behavioral Health Center
Community/Behavioral Health Agency
NPI Number: 1437211067
Address: 502 WEST CLINTON STREET Gray, GA 31032 , Phone: 4787514519
River Edge Behavorial Health Center
Community/Behavioral Health Agency
NPI Number: 1235290859
Address: 324 HIGHWAY 18 EAST Gray, GA 31032 , Phone: 4787514519
River Edge Behavioral Health Center
Community/Behavioral Health Agency
NPI Number: 1487716577
Address: 151 CHILDS ST Gray, GA 31032 , Phone: 4787514507
Mrs. Karen J. M. Donato
Physician Assistant
NPI Number: 1710042676
Address: 4292 GRAY HWY Gray, GA 31032 , Phone: 4789862500
Mrs. Amanda R. White
Family Nurse Practitioner
NPI Number: 1760538656
Address: 1005 BOULDER DR Gray, GA 31032 , Phone: 4786212100
S & S Medical Management Services, Inc
Durable Medical Equipment & Medical Supplies
NPI Number: 1477690014
Address: 221 WEST CLINTON STREET SUITE F Gray, GA 31032 , Phone: 4789360220
Dr. Melissa D Primrose
Family Medicine Physician
NPI Number: 1457496234
Address: 1005 BOULDER DR Gray, GA 31032 , Phone: 4786212100
Loray Thomas Childs
Pharmacist
NPI Number: 1780717223
Address: 126 W CLINTON ST Gray, GA 31032 , Phone: 4789863161
Frank Heath Mills
Athletic Trainer
NPI Number: 1679790844
Address: 260 W CLINTON ST STE 2 Gray, GA 31032 , Phone: 4782563111
Alicia Marie Gregory
Marriage & Family Therapist
NPI Number: 1760602007
Address: 111 DOLLY ST Gray, GA 31032 , Phone: 4784911991
Mr. Steven James Clark
Optician
NPI Number: 1619197779
Address: 4292 GRAY HWY SUITE A Gray, GA 31032 , Phone: 4789862384
Todd F Kelleher
Chiropractor
NPI Number: 1184845067
Address: 4292 GRAY HIGHWAY Gray, GA 31032 , Phone: 4789866444
Todd F Kelleher Dc Pc
Chiropractor
NPI Number: 1497968739
Address: 4292 GRAY HWY Gray, GA 31032 , Phone: 4789866444
Mrs. Jennie Carlene Allen
Advanced Practice Midwife
NPI Number: 1023224821
Address: 2365 GA HIGHWAY 18 W Gray, GA 31032 , Phone: 4789861473
Willie Mack Watts
Medical Physician Assistant
NPI Number: 1679772388
Address: 4292 GRAY HWY Gray, GA 31032 , Phone: 4789862500
Mrs. Brenda Gail Tolleson
Nurse Practitioner
NPI Number: 1043402613
Address: 1005 BOULDER DR Gray, GA 31032 , Phone: 4786212100
River Edge Behavioral Health Center
Community/Behavioral Health Agency
NPI Number: 1669668414
Address: 530 SETTLEMENT RD STE A Gray, GA 31032 , Phone: 4787514507
Albert H Mcgalliard
Pharmacist
NPI Number: 1396929568
Address: 236 WEST CLINTON ST Gray, GA 31032 , Phone: 4789864827
Gray Family Health Llc
Family Medicine Physician
NPI Number: 1376720698
Address: 110 STONE BROOKE DR Gray, GA 31032 , Phone: 4789864743
Mr. Patrick Ramsay Gilbert
Pharmacist
NPI Number: 1992973242
Address: 236 WEST CLINTON STREET MEDICAP PHARMACY Gray, GA 31032 , Phone: 4789864827
Walgreen Co
Durable Medical Equipment & Medical Supplies
NPI Number: 1215108931
Address: 274 W CLINTON ST Gray, GA 31032 , Phone: 4789865146
Mrs. Kimberly Stewart Jackson
Massage Therapist
NPI Number: 1548432586
Address: 247 LANA DR Gray, GA 31032 , Phone: 4789860484
Ga Pain And Behavioral Medicine Inc.
Specialist
NPI Number: 1952562191
Address: 247 LANA DR Gray, GA 31032 , Phone: 4789860484
Julie S Sullens
Physical Therapist
NPI Number: 1770746570
Address: 4446 RIVERCLIFF WAY Gray, GA 31032 , Phone: 7067674995
Dr. Nkechi Okechukwu
Pediatrics Physician
NPI Number: 1093971616
Address: 4292 GRAY HWY Gray, GA 31032 , Phone: 4789862500
Amedisys Georgia, L.L.C.
Home Health Agency
NPI Number: 1043455074
Address: 4274 GRAY HWY SUITE C Gray, GA 31032 , Phone: 4789865550
Dr. Andrew L Barrett
Pharmacist
NPI Number: 1750515011
Address: 611 WEST CLINTON STREET Gray, GA 31032 , Phone: 4789865454
Calita Suzanne Hill
Nurse Practitioner
NPI Number: 1528295078
Address: 1005 BOULDER DR Gray, GA 31032 , Phone: 4786212100
Jennifer Lee Clark
Family Nurse Practitioner
NPI Number: 1265661045
Address: 1005 BOULDER DR Gray, GA 31032 , Phone: 4786212100
Ms. Jennifer Strole
Professional Counselor
NPI Number: 1164654752
Address: 111 DOLLY ST Gray, GA 31032 , Phone: 4784575719
Angela Montgomery Eells
Clinical Social Worker
NPI Number: 1578892477
Address: 111 DOLLY ST Gray, GA 31032 , Phone: 4784911991
Dr. Lacy Lee Gardner-Hattaway
Occupational Therapist
NPI Number: 1073838413
Address: 922 GA HIGHWAY 18 W Gray, GA 31032 , Phone: 4789868527
Mrs. Leslie Busbee Miller
Nurse Practitioner
NPI Number: 1124339445
Address: 1005 BOULDER DR Gray, GA 31032 , Phone: 4786212100

Dr. wyatt Kenny blake in Other Directories

Provider don't have other directory link yet.