MRS. KIMBERLEE BANKS BLAYLOCK P.A.-C
NPI 1225024029
Physician Assistant in Winston Salem, NC

Q: What is Kimberlee Blaylock's NPI number?

The NPI number for Kimberlee Blaylock is 1225024029. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Q: What is Kimberlee Blaylock's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since September 27, 2005PECOS EnrolledAccepts Medicare Assignment

131 MILLER ST, WINSTON SALEM, NC 27103(336) 716-8200(336) 716-9841 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jan 30, 2026, Dec 11, 2024 (2 updates tracked since 2024).

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About Mrs. Kimberlee Banks Blaylock P.a.-c NPPES

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

MRS. KIMBERLEE BANKS BLAYLOCK P.A.-C (NPI 1225024029) is an individual physician assistant in Winston Salem, North Carolina, licensed in North Carolina (104141) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1225024029

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. KIMBERLEE BANKS BLAYLOCKCredential: P.A.-C

Location Address131 MILLER STWinston Salem, NC 27103-2508

Mailing AddressMedical Center BlvdWinston Salem, NC 27157-0001 · (336) 716-8200 · Fax (336) 716-9841

Phone(336) 716-8200

Fax(336) 716-9841

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateSeptember 27, 2005

Last NPPES UpdateJanuary 30, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 30, 2026

✔ NPI 1225024029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in NC · 104141✔ Licensed in NC · 0001-04141

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

131 MILLER ST, Winston Salem, NC 27103

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Secondary Practice Locations 3

Location 1329 Nc Highway 801 NBermuda Run, NC 27006-7905 · Phone (336) 716-8200 · Fax (336) 716-9841

Location 21950 S Hawthorne RdWinston Salem, NC 27103-3912 · Phone (336) 718-8386 · Fax (336) 718-0290

Location 3170 Kimel Park DrWinston Salem, NC 27103-6946 · Phone (336) 768-1270 ext. 1212 · Fax (336) 765-6375

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kimberlee Banks Blaylock P.a.-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941264691

PECOS Enrollment IDI20041112001038

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340047

LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

RACHEL LEIGH HONIG MD

Orthopaedic Surgery