Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053267062 Individual Practitioner Male Practitioner

Blake Bostick

Physician Assistant • Clinton, MS

Professional Overview & Biography Verified Profile Summary

Blake Bostick is a registered healthcare professional specializing in Physician Assistant in Clinton, MS. Practice services are available at 200 CAPITOL ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

200 Capitol St

Clinton, MS 390564026

Telephone 6019253000
Associated Practice Facility / Clinic
🏢 Mississippi College Facility NPI 1528340783

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Clinton, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.8 Yrs
State Avg: 8.9 Yrs
Regional Practice Density
12 Specialists

Practicing in Clinton, MS (343 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: 2026-03-10
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Practice Associates & Co-Workers

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

8 Associated Practitioners
Kathryn Reeves

Physician Assistant

NPI 1235097569
Caitlin Brown , ATC

Specialist/Technologist - Athletic Trainer

NPI 1245753698

Certified Athletic Trainer

Baylee Waldrop

Physician Assistant

NPI 1467307975
William Aderholt , LAT, ATC

Specialist/Technologist - Athletic Trainer

NPI 1649793019

Licensed Athletic Trainer, Certified Athletic Trainer

Ariel Gordon

Physician Assistant

NPI 1811765092
Khushi Patel , PA-C

Physician Assistant - Medical

NPI 1912865262

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 10, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location March 10, 2026

Registered at 200 CAPITOL ST, CLINTON, MS 390564026 (Tel: 6019253000)

📍
Updated Business Mailing Address March 10, 2026

Registered at 200 CAPITOL ST, CLINTON, MS 390564026

👤
Provider Name / Credentials Updated March 10, 2026

Recorded as BLAKE BOSTICK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2026

Physician Assistant

🟢
Initial NPI Registration & Enumeration March 10, 2026

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: 1053267062
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 10, 2026
Last Update: March 10, 2026
Sole Proprietor: No

Mailing Address

200 Capitol St

Clinton, MS 390564026

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.