Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. DAPHNE REENE BLAKLEY PA-C
NPI 1538353057
Physician Assistant in Marietta, GA

Active since August 28, 2007PECOS Enrolled
45 SOUTH AVE SE STE 5, MARIETTA, GA 30060(919) 391-7202 Get Directions Write a Review

NPPES record last updated: August 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Daphne Reene Blakley Pa-c NPPES

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

MRS. DAPHNE REENE BLAKLEY PA-C (NPI 1538353057) is an individual physician assistant in Marietta, Georgia, licensed in Missouri (2024033212) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1538353057
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. DAPHNE REENE BLAKLEYCredential: PA-C
Location Address45 SOUTH AVE SE STE 5Marietta, GA 30060-2538
Mailing Address45 South Ave Se Ste 5Marietta, GA 30060-2538 · (919) 391-7202
Sole ProprietorNo
Enumeration DateAugust 28, 2007
Last NPPES UpdateAugust 1, 2026
NPPES CertifiedAugust 1, 2026
NPI 1538353057 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 MO · 2024033212 Licensed in GA · 004396
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.
45 SOUTH AVE SE STE 5, Marietta, GA 30060

Secondary Practice Locations 2

Location 1100 S 4th St Ste 550Saint Louis, MO 63102-1897 · Phone (919) 391-7202
Location 25501 Fortunes Ridge Dr Ste PDurham, NC 27713-6102 · Phone (919) 391-7202

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Daphne Reene Blakley Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 30060 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 2

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

Physician Assistant
45 SOUTH AVE SE STE 5
MARIETTA, GA 30060
Physician Assistant
45 SOUTH AVE SE STE 5
MARIETTA, GA 30060

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 Daphne Blakley's NPI number?

The NPI number for Daphne Blakley is 1538353057. It was assigned to this individual provider in the NPPES registry on August 28, 2007.

Where is Daphne Blakley located?

Daphne Blakley practices at 45 South Ave SE Ste 5, Marietta, GA 30060. The listed phone number is (919) 391-7202.

What is Daphne Blakley's specialty?

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

Is Daphne Blakley enrolled in Medicare?

Yes. Daphne Blakley is registered in the Medicare PECOS enrollment system.

What insurance does Daphne Blakley accept?

Health plans from Medica, Oscar Insurance Company and UnitedHealthcare list Daphne Blakley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Daphne Blakley was last updated on August 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.