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GEORGENNA BLAKES CRNP
NPI 1922891431
Nurse Practitioner - Gerontology in Mobile, AL

Active since May 27, 2025PECOS EnrolledAccepts Medicare Assignment
5955 AIRPORT BLVD, MOBILE, AL 36608(251) 633-0573(251) 633-7367 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Georgenna Blakes Crnp NPPES

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

GEORGENNA BLAKES CRNP (NPI 1922891431) is an individual gerontology provider in Mobile, Alabama, licensed in Alabama (1-162712) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1922891431
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameGEORGENNA BLAKESCredential: CRNP
Location Address5955 AIRPORT BLVDMobile, AL 36608-3135
Mailing AddressPo Box 7987Mobile, AL 36670-0987 · (251) 633-0573 · Fax (251) 633-7367
Phone(251) 633-0573
Fax(251) 633-7367
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 27, 2025
NPPES CertifiedMay 27, 2025
✔ NPI 1922891431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in AL · 1-162712
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 1-162712 (AL)
5955 AIRPORT BLVD, Mobile, AL 36608
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1141 Tuscaloosa StMobile, AL 36607-3422 · Phone (251) 433-3344 · Fax (251) 433-4052
Location 28725 County Road 64Daphne, AL 36526-6061 · Phone (251) 625-1370 · Fax (251) 625-1380

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.Insurance ›

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

Georgenna Blakes Crnp 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.

PECOS PAC ID3476068974
PECOS Enrollment IDI20250714003653
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 Georgenna Blakes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pulmonary Associates Of Mobile PC
1.1 mi
Critical Care Medicine
6701 AIRPORT BLVD, B 135
Mobile, AL 36608
  • Reassigned Medicare billing, Alabama and Mississippi enrollments
  • Also billed through NPI 1750366118 (Mississippi)
  • 38 clinicians in this Medicare group
NPI 1194776278 (251) 633-0573

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 36608 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

DR. WILLIAM BRADLEY PITTS M.D.
Internal Medicine (Pulmonary Disease)
5955 AIRPORT BLVD
MOBILE, AL 36608
Mobile County (251) 633-0573
MRS. JESSICA MATHEWS MCCULLOUGH CRNP
Nurse Practitioner (Acute Care)
5955 AIRPORT BLVD
MOBILE, AL 36608
Mobile County (251) 633-0573
KIMBERLY ANN DEVILBISS CNS
Clinical Nurse Specialist (Acute Care)
5955 AIRPORT BLVD
MOBILE, AL 36608
Mobile County (251) 633-0573
DR. WILLIAM HENRY PORR M.D.
Internal Medicine (Pulmonary Disease)
5955 AIRPORT BLVD
MOBILE, AL 36608
Mobile County (251) 633-0573
KATHERINE TRAWICK SMITH CRNP
Nurse Practitioner (Family)
5955 AIRPORT BLVD
MOBILE, AL 36608
Mobile County (251) 633-0573
LUKASZ MYC M.D.
Internal Medicine (Pulmonary Disease)
5955 AIRPORT BLVD
MOBILE, AL 36608
Mobile County (251) 633-0573
MR. DONALD LAWRENCE BEDSOLE MD
Internal Medicine (Pulmonary Disease)
5955 AIRPORT BLVD
MOBILE, AL 36608
Mobile County (251) 633-0573
DR. STEVEN SCHWARTZ M.D.
Internal Medicine (Critical Care Medicine)
5955 AIRPORT BLVD
MOBILE, AL 36608
Mobile County (251) 633-0573

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 Georgenna Blakes's NPI number?

The NPI number for Georgenna Blakes is 1922891431. It was assigned to this individual provider in the NPPES registry on May 27, 2025.

Where is Georgenna Blakes located?

Georgenna Blakes practices at 5955 Airport Blvd, Mobile, AL 36608. The listed phone number is (251) 633-0573.

What is Georgenna Blakes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Georgenna Blakes enrolled in Medicare?

Yes. Georgenna Blakes 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 organization bills Medicare for Georgenna Blakes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Georgenna Blakes reassigns Medicare benefits to Pulmonary Associates Of Mobile PC (Mobile, AL). The 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 Georgenna Blakes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Georgenna Blakes accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Georgenna Blakes 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 Georgenna Blakes was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.