BLAKE SANDERS
NPI 1306588520
Emergency Medicine in Jackson, MS

Q: What is Blake Sanders's NPI number?

The NPI number for Blake Sanders is 1306588520. It was assigned to this individual provider in the NPPES registry on April 8, 2022.

Q: What is Blake Sanders's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Blake Sanders was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.

Active since April 08, 2022PECOS Enrolled

2500 N STATE ST, JACKSON, MS 39216(601) 984-1000 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 13, 2025, Apr 8, 2022 (2 updates tracked since 2022).

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About Blake Sanders NPPES

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

BLAKE SANDERS (NPI 1306588520) is an individual emergency medicine provider in Jackson, Mississippi, licensed in Georgia (105368) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Phoebe Putney Memorial Hospital, and is a graduate of William Carey University College Of Osteopathic Medicine (2022).

NPPES Registry Identity

NPI1306588520

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameBLAKE SANDERS

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address413 West Third AvenueAlbany, GA 31701

Phone(601) 984-1000

Sole ProprietorNo

Medical School CMSWilliam Carey University College Of Osteopathic MedicineGraduated 2022

Enumeration DateApril 8, 2022

Last NPPES UpdateNovember 13, 20252 updates tracked since enumeration

NPPES CertifiedNovember 13, 2025

✔ NPI 1306588520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in GA · 105368

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

2500 N STATE ST, Jackson, MS 39216

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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 Sanders is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901262401

PECOS Enrollment IDI20250814001391

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.

Phoebe Putney Memorial Hospital

Acute Care Hospitals · Albany, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110007

Location417 Third AvenueAlbany, GA 31703 · Dougherty County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

Most-billed visit code 99214

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.

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)