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BLAKE AUSTIN STEPHENS MD
NPI 1285384701
Student in an Organized Health Care Education/Training Program in Charlotte, NC

Active since March 27, 2022PECOS Enrolled
1000 BLYTHE BLVD STE 601, CHARLOTTE, NC 28203(704) 355-7874(704) 355-5619 Get Directions Write a Review

NPPES record last updated: March 27, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Blake Austin Stephens Md NPPES

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

BLAKE AUSTIN STEPHENS MD (NPI 1285384701) is an individual student in an organized health care education/training program in Charlotte, North Carolina and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285384701
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBLAKE AUSTIN STEPHENSCredential: MD
Location Address1000 BLYTHE BLVD STE 601Charlotte, NC 28203-5871
Mailing Address338 Oldham AveLexington, KY 40502-1720 · (859) 640-3310
Phone(704) 355-7874
Fax(704) 355-5619
Sole ProprietorNo
Enumeration DateMarch 27, 2022
NPPES CertifiedMarch 27, 2022
✔ NPI 1285384701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1000 BLYTHE BLVD STE 601, Charlotte, NC 28203
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blake Austin Stephens Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

ISOLINA ROSSI MD
Surgery
1000 BLYTHE BLVD STE 601
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-7874
ANSLEY BETH RICKER MD
Surgery
1000 BLYTHE BLVD STE 601
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-7874
RAZA MAHMOOD AHMAD MD
Surgery
1000 BLYTHE BLVD STE 601
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-7874
VAN CHRISTIAN SANDERFER
Surgery
1000 BLYTHE BLVD STE 601
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-7874
HADLEY HUSKE WILSON
Surgery
1000 BLYTHE BLVD STE 601
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-7874
DR. MARIAH ELIZABETH JOHNSON MD
Surgery
1000 BLYTHE BLVD STE 601
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-7874
STEPHANIE MARIE JENSEN
Student in an Organized Health Care Education/Training Program
1000 BLYTHE BLVD STE 601
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-7874
WILLIAM RICHARD LORENZ JR.
Surgery
1000 BLYTHE BLVD STE 601
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-7874

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 Blake Stephens's NPI number?

The NPI number for Blake Stephens is 1285384701. It was assigned to this individual provider in the NPPES registry on March 27, 2022.

Where is Blake Stephens located?

Blake Stephens practices at 1000 Blythe Blvd Ste 601, Charlotte, NC 28203. The listed phone number is (704) 355-7874.

What is Blake Stephens's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Blake Stephens enrolled in Medicare?

Yes. Blake Stephens is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Blake Stephens was last updated on March 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.