BLAKE HOLLINGSWORTH
NPI 1922956226
Physician Assistant in Birmingham, AL

Active since March 20, 2026PECOS Enrolled
619 19TH ST S, BIRMINGHAM, AL 35233(205) 934-4011 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 5, 2026, Mar 20, 2026 (2 updates tracked since 2026).

About Blake Hollingsworth NPPES

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

BLAKE HOLLINGSWORTH (NPI 1922956226) is an individual physician assistant in Birmingham, Alabama, licensed in Alabama (2799) and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1922956226
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBLAKE HOLLINGSWORTH
Location Address619 19TH ST SBirmingham, AL 35233-1900
Mailing AddressPo Box 55310Birmingham, AL 35255-5310 · (205) 934-4011
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 20, 2026
Last NPPES UpdateJune 5, 20262 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
NPI 1922956226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in AL · 2799
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

619 19TH ST S, Birmingham, AL 35233

Secondary Practice Location 1

Location 1Uab Department Of Neurosurgery, 1060 Fot 1720 2nd Avenue SouthBirmingham, AL 35294-3410 · Phone (205) 934-4011

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

PECOS PAC ID7315419108
PECOS Enrollment IDI20260612000328
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 35233 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
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
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.

Emergency Medicine (Medical Toxicology)
619 19TH ST S
BIRMINGHAM, AL 35233
Registered Nurse
619 19TH ST S
BIRMINGHAM, AL 35233
Physician Assistant
619 19TH ST S
BIRMINGHAM, AL 35233
Emergency Medicine
619 19TH ST S
BIRMINGHAM, AL 35233
Hospitalist
619 19TH ST S
BIRMINGHAM, AL 35233
Radiology (Diagnostic Radiology)
619 19TH ST S
BIRMINGHAM, AL 35233
Internal Medicine (Hematology)
619 19TH ST S
BIRMINGHAM, AL 35233
Surgery (Trauma Surgery)
619 19TH ST S
BIRMINGHAM, AL 35233

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 Hollingsworth's NPI number?

The NPI number for Blake Hollingsworth is 1922956226. It was assigned to this individual provider in the NPPES registry on March 20, 2026.

Where is Blake Hollingsworth located?

Blake Hollingsworth practices at 619 19th St S, Birmingham, AL 35233. The listed phone number is (205) 934-4011.

What is Blake Hollingsworth's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Blake Hollingsworth enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Blake Hollingsworth was last updated on June 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.