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WILLIAM J BLACKLEY M.D.
NPI 1649262312
Family Medicine in Statesville, NC

Active since August 18, 2005
619 SULLIVAN RD, STATESVILLE, NC 28677(704) 924-9111 Get Directions Write a Review

NPPES record last updated: January 24, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About William J Blackley M.d. NPPES

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

WILLIAM J BLACKLEY M.D. (NPI 1649262312) is an individual family medicine provider in Statesville, North Carolina, licensed in North Carolina (20527) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1649262312
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWILLIAM J BLACKLEYCredential: M.D.
Location Address619 SULLIVAN RDStatesville, NC 28677-3437
Mailing Address650 Signal Hill Drive Ext, Po Box 1845Statesville, NC 28625-4353 · (704) 873-4277 · Fax (704) 873-4511
Phone(704) 924-9111
Sole ProprietorNo
Enumeration DateAugust 18, 2005
Last NPPES UpdateJanuary 24, 2008
✔ NPI 1649262312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 20527
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
619 SULLIVAN RD, Statesville, NC 28677
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Other Identifiers 4

Medicaid8915987NC
Medicare UPINC81096NC
Medicare PINP00060550
Medicare ID-Type Unspecified202142HNC

Other Providers at the Same Location NPPES 14

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

CHRISTINA SHELBY BOLAND LCSW
Social Worker (Clinical)
619 SULLIVAN RD
STATESVILLE, NC 28677
Iredell County (704) 871-0934
BUCKLEY OLSEN
Social Worker (Clinical)
619 SULLIVAN RD
STATESVILLE, NC 28677
Iredell County (847) 454-6393
LORALIN MARIE KELLER-SOUNDARA LCSW-A
Social Worker (Clinical)
619 SULLIVAN RD
STATESVILLE, NC 28677
Iredell County (704) 871-0934
SHIRLEY JEAN LAWRENCE CADC
Counselor (Addiction (Substance Use Disorder))
619 SULLIVAN RD
STATESVILLE, NC 28677
Iredell County (704) 871-0934
CHRISTIANA OBIAMAKA ODUAH-THOMAS RN
Registered Nurse
619 SULLIVAN RD
STATESVILLE, NC 28677
Iredell County (704) 871-0934
PHOEBE IRELAND PRUNEDA LCSW-A
Social Worker (Clinical)
619 SULLIVAN RD
STATESVILLE, NC 28677
Iredell County (704) 871-0934
MARY MAIKRANZ MARKS NP
Nurse Practitioner (Family)
619 SULLIVAN RD
STATESVILLE, NC 28677
Iredell County (704) 924-9111
FRANK J SPENCE JR. MD
Family Medicine
619 SULLIVAN RD
STATESVILLE, NC 28677
Iredell County (704) 924-9111

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 William Blackley's NPI number?

The NPI number for William Blackley is 1649262312. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is William Blackley located?

William Blackley practices at 619 Sullivan Rd, Statesville, NC 28677. The listed phone number is (704) 924-9111.

What is William Blackley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for William Blackley was last updated on January 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.