DEDRA J BLALOCK
NPI 1619063153
Internal Medicine - Cardiovascular Disease in Atlanta, GA
About Dedra J Blalock NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEDRA J BLALOCK (NPI 1619063153) is an individual cardiovascular disease provider in Atlanta, Georgia, licensed in Georgia (APRN-NP089049) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital Midtown, and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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
Dedra J Blalock 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Emory University Hospital Midtown
Acute Care Hospitals · Atlanta, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30308 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
ATLANTA, GA 30308
ATLANTA, GA 30308
ATLANTA, GA 30308
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 Dedra Blalock's NPI number?
The NPI number for Dedra Blalock is 1619063153. It was assigned to this individual provider in the NPPES registry on October 4, 2006.
Where is Dedra Blalock located?
Dedra Blalock practices at 550 Peachtree St, Atlanta, GA 30308. The listed phone number is (404) 686-7431.
What is Dedra Blalock's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Dedra Blalock enrolled in Medicare?
Yes. Dedra Blalock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Dedra Blalock affiliated with any hospitals?
According to CMS data, Dedra Blalock is affiliated with Emory University Hospital Midtown.
When was this NPI record last updated?
The NPPES record for Dedra Blalock was last updated on October 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
