DR. CAMERON BLAKE PSYD
NPI 1881542728
Psychologist - Clinical in Hoschton, GA

Q: What is Cameron Blake's NPI number?

The NPI number for Cameron Blake is 1881542728. It was assigned to this individual provider in the NPPES registry on March 17, 2026.

Q: What is Cameron Blake's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Cameron Blake was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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 March 17, 2026PECOS Enrolled

4073 HIGHWAY 53, HOSCHTON, GA 30548(770) 882-5884 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Cameron Blake Psyd NPPES

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

DR. CAMERON BLAKE PSYD (NPI 1881542728) is an individual clinical provider in Hoschton, Georgia, licensed in Georgia (PSY004287) and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1881542728

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. CAMERON BLAKECredential: PSYD

Location Address4073 HIGHWAY 53Hoschton, GA 30548-2305

Mailing AddressPo Box 471Bethlehem, GA 30620-0471

Phone(770) 882-5884

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 17, 2026

NPPES CertifiedMarch 17, 2026

✔ NPI 1881542728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in GA · PSY004287

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

4073 HIGHWAY 53, Hoschton, GA 30548

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Cameron Blake Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941778476

PECOS Enrollment IDI20260504005923

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.

Medicare Billing Reassignment

Medicare enrollment records show Cameron Blake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northeast Georgia Psychological Services LLC

Same address

Clinical

4073 HIGHWAY 53
Hoschton, GA 30548

Reassigned Medicare billing, Georgia enrollment
17 clinicians in this Medicare group

NPI 1407230410 (770) 882-5884

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30548 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

$164.04 typical visit price

range $53.31 – $164.04

Typical copayment $41.01 (range $13.32 – $41.01)

Most-billed visit code 99205

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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 12

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

ARIKA HEFNER MS, LPC

Counselor (Mental Health)