Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497295505 Individual Practitioner Female Practitioner

Blayne O Yerby , PA

Physician Assistant • Macclenny, FL

Professional Overview & Biography Verified Profile Summary

Blayne Yerby, PA is a registered healthcare professional specializing in Physician Assistant in Macclenny, FL. Practice services are available at 1419 S 6TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1419 S 6th St

Macclenny, FL 320634624

Telephone 9046531822
Fax 9042591225
Associated Practice Facility / Clinic
🏢 Andres R Villar Md Facility NPI 1841384948

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Macclenny, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
3 Specialists

Practicing in Macclenny, FL (10376 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-02-12
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9110127

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License FL 9110127

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
020253400 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Jennifer Brown , ARNP

Nurse Practitioner

NPI 1558695320

Advanced Registered Nurse Practitioner

Jessica Rockswold , PA

Physician Assistant

NPI 1619204955

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location February 12, 2021

Registered at 1419 S 6TH ST, MACCLENNY, FL 320634624 (Tel: 9046531822)

📍
Updated Business Mailing Address February 12, 2021

Registered at 789 W DUVAL ST, LAKE CITY, FL 320553811 (Tel: 3867555044)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2021

Physician Assistant (License #9110127 in FL)

👤
Provider Name / Credentials Updated May 01, 2018

Recorded as BLAYNE YERBY, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2018

Physician Assistant (License #PA9110127 in FL)

NPI Profile Active March 08, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 08, 2017

Registered at 13241 BARTRAM PARK BLVD, SUITE 209, JACKSONVILLE, FL 322585212 (Tel: 9042245437)

📍
Updated Business Mailing Address March 08, 2017

Registered at 13241 BARTRAM PARK BLVD, SUITE 209, JACKSONVILLE, FL 322585212 (Tel: 9042245437)

👤
Provider Name / Credentials Updated March 08, 2017

Recorded as BLAYNE FRISBIE, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2017

Physician Assistant (License #9110127 in FL)

🟢
Initial NPI Registration & Enumeration March 08, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497295505
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2017
Last Update: February 12, 2021
Sole Proprietor: Yes

Mailing Address

789 W Duval St

Lake City, FL 320553811

Phone: 3867555044

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.