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

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: August 02, 2026.

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, and ordering and referring status from the CMS PECOS system.

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.

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 13

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

ARIKA HEFNER MS, LPC
Counselor (Mental Health)
4073 HIGHWAY 53
HOSCHTON, GA 30548
Jackson County (770) 882-5884
ELISE EMBRICK THRIFT LPC
Counselor (Professional)
4073 HIGHWAY 53
HOSCHTON, GA 30548
Jackson County (706) 658-0116
SHEILA SPRUILL LCSW
Social Worker (Clinical)
4073 HIGHWAY 53
HOSCHTON, GA 30548
Jackson County (770) 882-5884
LYDIA BREER LCSW
Social Worker (Clinical)
4073 HIGHWAY 53
HOSCHTON, GA 30548
Jackson County (770) 891-1928
MRS. BROOKE CHRISTIAN HARRIS LPC
Counselor (Professional)
4073 HIGHWAY 53
HOSCHTON, GA 30548
Jackson County (770) 882-5884
NORTHEAST GEORGIA PSYCHOLOGICAL SERVICES LLC
Psychologist (Clinical)
4073 HIGHWAY 53
HOSCHTON, GA 30548
Jackson County (770) 882-5884
REBECCA GRACE BOURAS LPC
Counselor (Professional)
4073 HIGHWAY 53
HOSCHTON, GA 30548
Jackson County (770) 882-5884
DR. HEATHER CHELSEY FUTRAL PSY.D.
Psychologist (Clinical)
4073 HIGHWAY 53
HOSCHTON, GA 30548
Jackson County (770) 882-5884

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 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.

Where is Cameron Blake located?

Cameron Blake practices at 4073 Highway 53, Hoschton, GA 30548. The listed phone number is (770) 882-5884.

What is Cameron Blake's specialty?

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

Is Cameron Blake enrolled in Medicare?

Yes. Cameron Blake is registered in the Medicare PECOS enrollment system.

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 4 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.