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BLAYNE O YERBY PA
NPI 1497295505
Physician Assistant in Macclenny, FL

Active since March 08, 2017
1419 S 6TH ST, MACCLENNY, FL 32063(904) 653-1822(904) 259-1225 Get Directions Write a Review

NPPES record last updated: February 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 12, 2021, May 1, 2018 (2 updates tracked since 2018).

About Blayne O Yerby Pa NPPES

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

BLAYNE O YERBY PA (NPI 1497295505) is an individual physician assistant in Macclenny, Florida, licensed in Florida (PA9110127) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1497295505
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBLAYNE O YERBYCredential: PA
Location Address1419 S 6TH STMacclenny, FL 32063-4624
Mailing Address789 W Duval StLake City, FL 32055-3811 · (386) 755-5044 · Fax (386) 755-2283
Phone(904) 653-1822
Fax(904) 259-1225
Sole ProprietorYes
Enumeration DateMarch 8, 2017
Last NPPES UpdateFebruary 12, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2021
✔ NPI 1497295505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in FL · PA9110127✔ Licensed in FL · 9110127
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.
1419 S 6TH ST, Macclenny, FL 32063
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Other Names 1

Other Name (5)Blayne O Frisbie Pa

Other Identifiers 1

Medicaid020253400FL

Other Providers at the Same Location NPPES 4

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

ANDRES R VILLAR MD
Clinic/Center (Rural Health)
1419 S 6TH ST
MACCLENNY, FL 32063
Baker County (904) 653-1822
JENNIFER K BROWN ARNP
Nurse Practitioner
1419 S 6TH ST
MACCLENNY, FL 32063
Baker County (904) 653-1822
JESSICA MICHELE ROCKSWOLD P.A.
Physician Assistant
1419 S 6TH ST
MACCLENNY, FL 32063
Baker County (904) 653-1822
ANDRES R VILLAR MD
Pediatrics
1419 S 6TH ST
MACCLENNY, FL 32063
Baker County (904) 653-1822

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 Blayne Yerby's NPI number?

The NPI number for Blayne Yerby is 1497295505. It was assigned to this individual provider in the NPPES registry on March 8, 2017. The provider is also known as Blayne O Frisbie PA.

Where is Blayne Yerby located?

Blayne Yerby practices at 1419 S 6th St, Macclenny, FL 32063. The listed phone number is (904) 653-1822.

What is Blayne Yerby's specialty?

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

When was this NPI record last updated?

The NPPES record for Blayne Yerby was last updated on February 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.