Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629329453 Individual Practitioner Female Practitioner

Phyllisa Dawn Blake , RN

Registered Nurse • Chamblee, GA

Professional Overview & Biography Verified Profile Summary

Phyllisa Blake, RN is a registered healthcare professional specializing in Registered Nurse in Chamblee, GA. Practice services are available at 3807 CLAIRMONT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3807 Clairmont Rd

Chamblee, GA 303414911

Telephone 7704541144
Fax 7704524468
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Chamblee, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.3 Yrs
Regional Practice Density
13 Specialists

Practicing in Chamblee, GA (3397 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

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License GA RN196553

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

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

12 Associated Practitioners
Lillian Downton , RN

Registered Nurse

NPI 1265655518

Registered Nurse

Mary Jordan , RN

Registered Nurse

NPI 1306069646

Registered Nurse

Mavis Mensah , RN

Registered Nurse

NPI 1366793945

Registered Nurse

Dr. Elise Ashpole , DMD

Dentist - General Practice

NPI 1659322477

Doctor of Dental Medicine

Sandra Deloach , RN

Registered Nurse

NPI 1659594919

Registered Nurse

Dr. Frank Mathews , DMD

Dentist - General Practice

NPI 1669426904

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 24, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 24, 2012

Registered at 3807 CLAIRMONT RD, CHAMBLEE, GA 303414911 (Tel: 7704541144)

📍
Updated Business Mailing Address September 24, 2012

Registered at 4312 RICKENBACKER WAY NE, ATLANTA, GA 303423713 (Tel: 4049147136)

👤
Provider Name / Credentials Updated September 24, 2012

Recorded as PHYLLISA BLAKE, RN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2012

Registered Nurse (License #RN196553 in GA)

🟢
Initial NPI Registration & Enumeration September 19, 2012

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: 1629329453
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 19, 2012
Last Update: September 24, 2012
Sole Proprietor: No

Mailing Address

4312 Rickenbacker Way Ne

Atlanta, GA 303423713

Phone: 4049147136

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.