SALLY S BLAKE FNP-C
NPI 1750432985
Nurse Practitioner - Family in Orangeburg, SC

Q: What is Sally Blake's NPI number?

The NPI number for Sally Blake is 1750432985. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Q: What is Sally Blake's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Sally Blake was last updated on February 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 January 15, 2007PECOS Enrolled

2319 SAINT MATTHEWS RD, ORANGEBURG, SC 29118(803) 536-1571(803) 534-3860 Get Directions Write a Review

NPPES record last updated: February 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 11, 2019, Jun 1, 2017 (2 updates tracked since 2017).

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About Sally S Blake Fnp-c NPPES

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

SALLY S BLAKE FNP-C (NPI 1750432985) is an individual family provider in Orangeburg, South Carolina, licensed in South Carolina (710) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1750432985

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSALLY S BLAKECredential: FNP-C

Location Address2319 SAINT MATTHEWS RDOrangeburg, SC 29118

Mailing Address2319 Saint Matthews RdOrangeburg, SC 29118-2042 · (803) 536-1571 · Fax (803) 534-3860

Phone(803) 536-1571

Fax(803) 534-3860

Sole ProprietorNo

Enumeration DateJanuary 15, 2007

Last NPPES UpdateFebruary 11, 20192 updates tracked since enumeration

✔ NPI 1750432985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in SC · 710

2319 SAINT MATTHEWS RD, Orangeburg, SC 29118

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Secondary Practice Locations 2

Location 186 Wren StBarnwell, SC 29812-1529 · Phone (803) 259-5762 · Fax (803) 259-3250

Location 2521 Gibson RdLexington, SC 29072-2551 · Phone (803) 951-3490 · Fax (803) 951-3557

Other Identifiers 3

OtherF710SC · Prescriptive Authority

Other710SC · State License #

MedicaidNP1060SC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sally S Blake Fnp-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 29118 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

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 20

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

CAROLYN MOSLEY MASTER OF SCIENCE

Counselor (Mental Health)