PHYLLISA DAWN BLAKE RN
NPI 1629329453
Registered Nurse in Chamblee, GA

Q: What is Phyllisa Blake's NPI number?

The NPI number for Phyllisa Blake is 1629329453. It was assigned to this individual provider in the NPPES registry on September 19, 2012.

Q: What is Phyllisa Blake's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Phyllisa Blake was last updated on September 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since September 19, 2012

3807 CLAIRMONT RD, CHAMBLEE, GA 30341(770) 454-1144(770) 452-4468 Get Directions Write a Review

NPPES record last updated: September 24, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Phyllisa Dawn Blake Rn NPPES

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

PHYLLISA DAWN BLAKE RN (NPI 1629329453) is an individual registered nurse in Chamblee, Georgia, licensed in Georgia (RN196553) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1629329453

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NamePHYLLISA DAWN BLAKECredential: RN

Location Address3807 CLAIRMONT RDChamblee, GA 30341-4911

Mailing Address4312 Rickenbacker Way NeAtlanta, GA 30342-3713 · (404) 914-7136

Phone(770) 454-1144

Fax(770) 452-4468

Sole ProprietorNo

Enumeration DateSeptember 19, 2012

Last NPPES UpdateSeptember 24, 2012

✔ NPI 1629329453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in GA · RN196553

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

3807 CLAIRMONT RD, Chamblee, GA 30341

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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.

DEKALB COUNTY BOARD OF HEALTH

Public Health or Welfare

3807 CLAIRMONT RD
CHAMBLEE, GA 30341

Dekalb County (770) 454-1144

MR. ALONTE LEE LMSW

Counselor

3807 CLAIRMONT RD
ATLANTA, GA 30341

Dekalb County (770) 457-5867

MR. EUGENE BURTON MAY JR. LCSW

Social Worker (Clinical)

3807 CLAIRMONT RD
CHAMBLEE, GA 30341

Dekalb County (770) 457-5867

ELIZABETH ANNE GENGE LCSW

Social Worker (Clinical)

3807 CLAIRMONT RD
CHAMBLEE, GA 30341

Dekalb County (770) 457-5867

JOHN THOMAS LAZENBY III PHARMACIST

Pharmacist

3807 CLAIRMONT RD
CHAMBLEE, GA 30341

Dekalb County (770) 457-6236

DR. SUE A BRENNER M.D.

Internal Medicine

3807 CLAIRMONT RD
CHAMBLEE, GA 30341

Dekalb County (404) 616-0700

EDITH KAYE COVINGTON M.S., C.P.R.P.

Counselor (Mental Health)

3807 CLAIRMONT RD
CHAMBLEE, GA 30341

Dekalb County (770) 457-5867

LILLIAN MARIE DOWNTON RN

Registered Nurse

3807 CLAIRMONT RD
CHAMBLEE, GA 30341

Dekalb County (770) 454-1144

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 Phyllisa Blake's NPI number?

The NPI number for Phyllisa Blake is 1629329453. It was assigned to this individual provider in the NPPES registry on September 19, 2012.

Where is Phyllisa Blake located?

Phyllisa Blake practices at 3807 Clairmont Rd, Chamblee, GA 30341. The listed phone number is (770) 454-1144.

What is Phyllisa Blake's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Phyllisa Blake was last updated on September 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.