GABRIELLE N. BLAYLOCK PA-C, ATC
NPI 1346638905
Physician Assistant in Mcdonough, GA

Q: What is Gabrielle Blaylock's NPI number?

The NPI number for Gabrielle Blaylock is 1346638905. It was assigned to this individual provider in the NPPES registry on January 6, 2015.

Q: What is Gabrielle Blaylock's specialty?

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

Active since January 06, 2015PECOS EnrolledAccepts Medicare Assignment

156 FOSTER DR STE B, MCDONOUGH, GA 30253(770) 506-4119 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 16, 2025, Sep 10, 2024, May 5, 2024 and 2 more (5 updates tracked since 2018).

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About Gabrielle N. Blaylock Pa-c, Atc NPPES

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

GABRIELLE N. BLAYLOCK PA-C, ATC (NPI 1346638905) is an individual physician assistant in Mcdonough, Georgia, licensed in Georgia (12282) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (2023).

NPPES Registry Identity

NPI1346638905

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameGABRIELLE N. BLAYLOCKCredential: PA-C, ATC

Location Address156 FOSTER DR STE BMcdonough, GA 30253-5346

Mailing Address675 Lafayette Ave Apt 3207Fayetteville, GA 30214-5553

Phone(770) 506-4119

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 2023

Enumeration DateJanuary 6, 2015

Last NPPES UpdateMay 16, 20255 updates tracked since enumeration

NPPES CertifiedMay 16, 2025

✔ NPI 1346638905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in GA · 12282

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.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X

156 FOSTER DR STE B, Mcdonough, GA 30253

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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

Gabrielle N. Blaylock Pa-c, Atc 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 ID8527593656

PECOS Enrollment IDI20241126000449

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30253 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

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

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 9

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

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