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DR. JEREMY T. BLAKE M.D.
NPI 1770671018
Pediatrics in Jackson, TN

Active since October 11, 2006
264 COATSLAND DR., JACKSON, TN 38301(731) 423-1500(731) 423-0342 Get Directions Write a Review

NPPES record last updated: October 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jeremy T. Blake M.d. NPPES

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

DR. JEREMY T. BLAKE M.D. (NPI 1770671018) is an individual pediatrics provider in Jackson, Tennessee, licensed in Tennessee (MD0000031623) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1770671018
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. JEREMY T. BLAKECredential: M.D.
Location Address264 COATSLAND DR.Jackson, TN 38301
Mailing Address264 Coatsland Dr.Jackson, TN 38301 · (731) 423-1500 · Fax (731) 423-0342
Phone(731) 423-1500
Fax(731) 423-0342
Sole ProprietorNo
Enumeration DateOctober 11, 2006
Last NPPES UpdateOctober 17, 2018
✔ NPI 1770671018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TN · MD0000031623
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
264 COATSLAND DR., Jackson, TN 38301
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Other Identifiers 1

Medicaid5440909TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Other Providers at the Same Location NPPES 3

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

AMANDA K. BRASWELL CPNP
Nurse Practitioner (Pediatrics)
264 COATSLAND DR.
JACKSON, TN 38301
Madison County (731) 423-1500
DR. AMELIA G. SELF M.D.
Pediatrics
264 COATSLAND DR.
JACKSON, TN 38301
Madison County (731) 423-1500
DR. DAVID L. SELF JR. M.D.
Pediatrics
264 COATSLAND DR.
JACKSON, TN 38301
Madison County (731) 423-1500

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 Jeremy Blake's NPI number?

The NPI number for Jeremy Blake is 1770671018. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Jeremy Blake located?

Jeremy Blake practices at 264 Coatsland Dr., Jackson, TN 38301. The listed phone number is (731) 423-1500.

What is Jeremy Blake's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Jeremy Blake accept?

Health plans from BlueCross BlueShield of Tennessee list Jeremy Blake 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 Jeremy Blake was last updated on October 17, 2018. 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.