DR. BRYAN DAVID BLAKE MD
NPI 1316930118
Family Medicine in Lithia Springs, GA

Q: What is Bryan Blake's NPI number?

The NPI number for Bryan Blake is 1316930118. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Q: What is Bryan Blake's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Bryan Blake was last updated on June 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 26, 2005PECOS EnrolledAccepts Medicare Assignment

939 THORNTON RD, LITHIA SPRINGS, GA 30122(770) 948-5400(770) 948-4930 Get Directions Write a Review

NPPES record last updated: June 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2020, Jun 12, 2020 (2 updates tracked since 2020).

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About Dr. Bryan David Blake Md NPPES

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

DR. BRYAN DAVID BLAKE MD (NPI 1316930118) is an individual family medicine provider in Lithia Springs, Georgia, licensed in Georgia (040613) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Wellstar Cobb Medical Center, and is a graduate of Morehouse School Of Medicine (1993).

NPPES Registry Identity

NPI1316930118

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. BRYAN DAVID BLAKECredential: MD

Location Address939 THORNTON RDLithia Springs, GA 30122-2634

Mailing Address939 Thornton RdLithia Springs, GA 30122-2634 · (770) 948-5400 · Fax (770) 948-4930

Phone(770) 948-5400

Fax(770) 948-4930

Sole ProprietorYes

Medical School CMSMorehouse School Of MedicineGraduated 1993

Enumeration DateAugust 26, 2005

Last NPPES UpdateJune 30, 20202 updates tracked since enumeration

NPPES CertifiedJune 30, 2020

✔ NPI 1316930118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 040613

Definition

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.

939 THORNTON RD, Lithia Springs, GA 30122

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Other Identifiers 1

Medicaid00687409DGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Dr. Bryan David Blake Md 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 ID6507757150

PECOS Enrollment IDI20040323000644

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

196 services60 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

108 services58 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

53 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110143

Location3950 Austell RdAustell, GA 30106 · Cobb County

Birthing friendly

Wellstar Douglas Medical Center

Acute Care Hospitals · Douglasville, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110184

Location8954 Hospital DriveDouglasville, GA 30134 · Douglas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30122 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

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Other Providers at the Same Location NPPES 7

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

CHARICE WILSON JORDAN PA-C

Physician Assistant