DR. BLAKE KREFTON WILLIS M.D.
NPI 1841553328
Emergency Medicine in Charleston, SC
About Dr. Blake Krefton Willis M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BLAKE KREFTON WILLIS M.D. (NPI 1841553328) is an individual emergency medicine provider in Charleston, South Carolina, licensed in South Carolina (LL 34844) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Fairview Park Hospital, and is a graduate of Medical College Of Georgia School Of Medicine (2012).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Blake Krefton Willis M.d. 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.
Medicare Billing Reassignments
6Medicare enrollment records show Blake Willis reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Charleston, SC 29401
- Reassigned Medicare billing, South Carolina enrollment
- Medicare enrollment name: Bon Secours St Francis Xavier Hospital Inc
- 129 clinicians in this Medicare group
Mt Pleasant, SC 29466
- Reassigned Medicare billing, South Carolina enrollment
- 114 clinicians in this Medicare group
Sumter, SC 29150
- Reassigned Medicare billing, South Carolina enrollment
- Medicare enrollment name: Prisma Health-Midlands
- 373 clinicians in this Medicare group
Savannah, GA 31404
- Reassigned Medicare billing, Georgia enrollment
- 29 clinicians in this Medicare group
Myrtle Beach, SC 29572
- Reassigned Medicare billing, Georgia and South Carolina enrollments
- 586 clinicians in this Medicare group
Aiken, SC 29801
- Reassigned Medicare billing, South Carolina enrollment
- 187 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Fairview Park Hospital
Acute Care Hospitals · Dublin, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29425 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CHARLESTON, SC 29425
CHARLESTON, SC 29425
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 Blake Willis's NPI number?
The NPI number for Blake Willis is 1841553328. It was assigned to this individual provider in the NPPES registry on June 20, 2012.
Where is Blake Willis located?
Blake Willis practices at 169 Ashley Ave, Charleston, SC 29425. The listed phone number is (843) 792-1414.
What is Blake Willis's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Blake Willis enrolled in Medicare?
Yes. Blake Willis 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.
Which organizations bill Medicare for Blake Willis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Blake Willis reassigns Medicare benefits to 6 organizations: Bon Secours St. Francis Xavier Hosptial, Inc. (Charleston, SC), Roper St. Francis Mount Pleasant Hospital (Mt Pleasant, SC), Palmetto Health (Sumter, SC), Emergency Medicine Services Of Ga, LLC (Savannah, GA), Acs Primary Care Physicians - Southeast PC (Myrtle Beach, SC) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Blake Willis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Blake Willis affiliated with any hospitals?
According to CMS data, Blake Willis is affiliated with Fairview Park Hospital.
When was this NPI record last updated?
The NPPES record for Blake Willis was last updated on July 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Blake Krefton Willis, M.D. · NPI 1841553328
Emergency Medicine physician in Charleston, South Carolina. Individual provider, active in the CMS NPPES registry since June 20, 2012.
## Identity
- **NPI:** 1841553328 (Entity type: Individual)
- **Enumerated:** June 20, 2012
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** LL 34844 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 169 ASHLEY AVE, Charleston, SC 29425-8908
- **Phone:** (843) 792-1414
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Bon Secours St. Francis Xavier Hosptial, Inc. (NPI 1114707197, Charleston, SC); Roper St. Francis Mount Pleasant Hospital (NPI 1629499298, Mt Pleasant, SC); Palmetto Health (NPI 1710342787, Sumter, SC); Emergency Medicine Services Of Ga, LLC (NPI 1437017084, Savannah, GA); Acs Primary Care Physicians - Southeast PC (NPI 1861430555, Myrtle Beach, SC); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Georgia School Of Medicine, class of 2012
## Record status
- **NPPES last updated:** July 1, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1841553328) · Data from the CMS NPPES public registry.