BLAKE DALLON DO
NPI 1346944766
Student in an Organized Health Care Education/Training Program in Savannah, GA

Q: What is Blake Dallon's NPI number?

The NPI number for Blake Dallon is 1346944766. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Q: What is Blake Dallon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Blake Dallon was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 March 29, 2023PECOS EnrolledAccepts Medicare Assignment

601 E 66TH ST, SAVANNAH, GA 31405(912) 662-0088(912) 216-3489 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 2, 2024, Jun 18, 2023, Mar 29, 2023 (3 updates tracked since 2023).

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About Blake Dallon Do NPPES

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

BLAKE DALLON DO (NPI 1346944766) is an individual student in an organized health care education/training program in Savannah, Georgia, licensed in Georgia (101962) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1346944766

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameBLAKE DALLONCredential: DO

Location Address601 E 66TH STSavannah, GA 31405-4519

Mailing Address601 E 66th StSavannah, GA 31405-4519 · (912) 662-0088

Phone(912) 662-0088

Fax(912) 216-3489

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 29, 2023

Last NPPES UpdateJuly 29, 20253 updates tracked since enumeration

NPPES CertifiedJuly 29, 2025

✔ NPI 1346944766 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

License✔ Licensed in GA · 101962

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.

601 E 66TH ST, Savannah, GA 31405

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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 and accepts Medicare assignment

Blake Dallon Do 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 ID3577098987

PECOS Enrollment IDI20241121004149

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.

NISHA BEARD

Psychiatry & Neurology (Psychiatry)