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GERALD WAYNE BLAKE M.D.
NPI 1063743979
Internal Medicine in Sanford, NC

Active since January 18, 2010
1139 CARTHAGE ST, SUITE 110, SANFORD, NC 27330(919) 774-2195(919) 776-8131 Get Directions Write a Review

NPPES record last updated: January 18, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gerald Wayne Blake M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GERALD WAYNE BLAKE M.D. (NPI 1063743979) is an individual internal medicine provider in Sanford, North Carolina, licensed in North Carolina (15438) and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1063743979
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGERALD WAYNE BLAKECredential: M.D.
Location Address1139 CARTHAGE ST, SUITE 110Sanford, NC 27330-4111
Mailing Address1139 Carthage St, Suite 110Sanford, NC 27330-4111 · (919) 774-2195 · Fax (919) 776-8131
Phone(919) 774-2195
Fax(919) 776-8131
Sole ProprietorNo
Enumeration DateJanuary 18, 2010
✔ NPI 1063743979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 15438
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1139 CARTHAGE ST, Sanford, NC 27330
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Other Identifiers 1

Medicare UPINC82838NC

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNA RENEE KNOWLES PA
Physician Assistant (Medical)
1139 CARTHAGE ST, SUITE 101
SANFORD, NC 27330
Lee County (919) 774-1355
CENTRAL CAROLINA-IMA, LLC
Internal Medicine
1139 CARTHAGE ST, STE 110
SANFORD, NC 27330
Lee County (919) 774-2195
CENTRAL CAROLINA ORTHOPAEDIC
Specialist
1139 CARTHAGE ST, SUITE 101
SANFORD, NC 27330
Lee County (919) 774-1355
DLP CENTRAL CAROLINA PHYSICIAN PRACTICES LLC
Internal Medicine
1139 CARTHAGE ST, ST 110-A
SANFORD, NC 27330
Lee County (615) 920-7000
CENTRAL CAROLINA SURGICAL, PA
Surgery
1139 CARTHAGE ST, SUITE 110
SANFORD, NC 27330
Lee County (919) 775-7232
INTERNAL MEDICINE ASSOCIATES, PA
Internal Medicine
1139 CARTHAGE ST, SUITE 110
SANFORD, NC 27330
Lee County (919) 774-2195
DLP CENTRAL CAROLINA MEDICAL GROUP LLC
Surgery
1139 CARTHAGE ST, SUITE 110-B
SANFORD, NC 27330
Lee County (919) 775-3123
DR. STEVEN MICHAEL JURISICH MD
Surgery
1139 CARTHAGE ST, SUITE 110
SANFORD, NC 27330
Lee County (919) 775-7232

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gerald Blake's NPI number?

The NPI number for Gerald Blake is 1063743979. It was assigned to this individual provider in the NPPES registry on January 18, 2010.

Where is Gerald Blake located?

Gerald Blake practices at 1139 Carthage St Suite 110, Sanford, NC 27330. The listed phone number is (919) 774-2195.

What is Gerald Blake's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Gerald Blake was last updated on January 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.