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Active NPI 1043629140 Individual Practitioner Female Practitioner

Opal Mullings Blake , NP-C

Nurse Practitioner • Lawrenceville, GA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Opal Blake, NP-C is a certified Nurse Practitioner practicing in Lawrenceville, GA. With approximately 12 years of clinical experience since completing medical education in 2014, Opal Blake delivers high-quality medical care to the local community at 631 PROFESSIONAL DR STE 350.

Opal Blake is affiliated with Gwinnett Pulmonary Group and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, test to measure expiratory airflow and volume changes before and after medication administration. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

631 Professional Dr Ste 350

Lawrenceville, GA 300463370

Telephone 7709950630
Fax 7709951555
Associated Practice Facility / Clinic
🏢 Gwinnett Pulmonary Group Facility NPI 1801974175

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Lawrenceville, GA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs +0.5 yrs vs City Avg
City Avg: 11.5 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
71 Specialists

Practicing in Lawrenceville, GA (3149 Statewide)

Telehealth Adoption Rate
11.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
61.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Blake (12 Years) 12 Yrs
Lawrenceville Specialty Average (11.5 Years) 11.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
40 26 $281.25 $106.42
99213 Established patient office or other outpatient visit, typically 15 minutes
22 18 $190.27 $75.59

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License GA RN 199200

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License GA RN199200

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Gwinnett Pulmonary Group

631 Professional Dr, Lawrenceville, GA 300463370

Phone: 7709950630135

Practice Associates & Co-Workers

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

11 Associated Practitioners
Dr. Lawrence Kaplan , MD

Internal Medicine - Critical Care Medicine

NPI 1104800572

Doctor of Medicine (M.D.)

Vosudesh Pai

Internal Medicine - Critical Care Medicine

NPI 1164530051
Dr. Rajesh Jasani , MD

Internal Medicine - Critical Care Medicine

NPI 1316922461

Doctor of Medicine (M.D.)

Dr. Jelaina Scott , MD

Anesthesiology - Critical Care Medicine

NPI 1366975922

Doctor of Medicine (M.D.)

Dr. Paul Weinberg , MD

Internal Medicine - Critical Care Medicine

NPI 1447235387

Doctor of Medicine (M.D.)

Dr. Susmita Rajanala , MD

Internal Medicine - Pulmonary Disease

NPI 1477612661

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 04, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 04, 2016

Registered at 631 PROFESSIONAL DR STE 350, LAWRENCEVILLE, GA 300463370 (Tel: 7709950630)

📍
Updated Business Mailing Address January 04, 2016

Registered at 631 PROFESSIONAL DR, SUITE 350, LAWRENCEVILLE, GA 30046 (Tel: 7709950630)

👤
Provider Name / Credentials Updated January 04, 2016

Recorded as OPAL BLAKE, NP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2016

Nurse Practitioner (License #RN 199200 in GA)

🟢
Initial NPI Registration & Enumeration August 04, 2014

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: 1043629140
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2014
Last Update: January 04, 2016
Sole Proprietor: No

Mailing Address

631 Professional Dr, Suite 350

Lawrenceville, GA 30046

Phone: 7709950630

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.