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Active NPI 1396201935 Individual Practitioner Male Practitioner

Blakely David Wise , PA

Physician Assistant • Cornelius, NC

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Blakely Wise, PA is a certified Physician Assistant practicing in Cornelius, NC. With approximately 8 years of clinical experience since completing medical education in 2018, Blakely Wise delivers high-quality medical care to the local community at 20036 ZION AVE.

Blakely Wise is affiliated with Atrium Health North Market Network Llc 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, new patient outpatient office visit, x-ray of chest, 2 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

20036 Zion Ave
Ste 100

Cornelius, NC 280318435

Telephone 7048017400
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Cornelius, NC

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -10.2 yrs vs City Avg
City Avg: 18.2 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
13 Specialists

Practicing in Cornelius, NC (9374 Statewide)

Telehealth Adoption Rate
15.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
75.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wise (8 Years) 8 Yrs
Cornelius Specialty Average (18.2 Years) 18.2 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
99213 Established patient office or other outpatient visit, typically 15 minutes
122 117 $291.06 $78.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
46 46 $454.00 $96.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
39 38 $359.79 $110.43
71046 X-ray of chest, 2 views
23 23 $125.96 $23.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
16 16 $640.00 $144.54
81003 Automated urinalysis test
13 12 $17.62 $2.20
69209 Removal of impacted ear wax by washing
12 12 $72.25 $16.70

Medical Specialties & State Licenses

CMS Verified: 2025-04-09
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NC 0010-08866

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.

Hospital & Practice Group Affiliations

Atrium Health North Market Network Llc

4525 Cameron Valley Pkwy, Charlotte, NC 282114369

Phone: 9804021800

Atrium Health North Market Network Llc

20036 Zion Ave, Cornelius, NC 280318435

Phone: 7048017400

Atrium Health North Market Network Llc

150 Professional Park Dr, Mooresville, NC 281175604

Phone: 7048017350

Atrium Health North Market Network Llc

16645 Birkdale Commons Pkwy, Huntersville, NC 280785669

Phone: 7048017390

Secondary Practice Locations

1000 Blythe Blvd

Charlotte, NC 282035812

Phone: 7043552000

2301 Us Highway 74 W

Wadesboro, NC 281707554

Phone: 7049944500

1100 Blythe Blvd

Charlotte, NC 282035814

Phone: 7043554300

201 E Grover St

Shelby, NC 281503917

Phone: 9804873000

Practice Associates & Co-Workers

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

6 Associated Practitioners
Nancy Deem , FNP

Nurse Practitioner - Family

NPI 1013269745

Family Nurse Practitioner

Hana Guerriere , PA

Family Medicine

NPI 1083402861

Physician Assistant

Michelle Lash , FNP

Nurse Practitioner - Family

NPI 1306604020

Family Nurse Practitioner

NPI 1306861679

Doctor of Medicine (M.D.)

Shannon Butler , FNP

Nurse Practitioner - Family

NPI 1831514140

Family Nurse Practitioner

NPI 1952697096

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

18 Historical Events
📍
Updated Practice Location September 25, 2025

Registered at 20036 ZION AVE, STE 100, CORNELIUS, NC 280318435 (Tel: 7048017400)

📍
Updated Business Mailing Address September 25, 2025

Registered at PO BOX 19305, CHARLOTTE, NC 282199305

📍
Updated Practice Location April 09, 2025

Registered at 1006 W MAIN ST, BOZEMAN, MT 597153219 (Tel: 4064145000)

📍
Updated Business Mailing Address April 09, 2025

Registered at 915 HIGHLAND BLVD, BOZEMAN, MT 597156902

📍
Updated Practice Location December 18, 2023

Registered at 20036 ZION AVE, STE 100, CORNELIUS, NC 280318435 (Tel: 7048017400)

📍
Updated Practice Location January 26, 2023

Registered at 101 E W T HARRIS BLVD, STE 5002, CHARLOTTE, NC 282623485 (Tel: 7048017310)

📍
Updated Practice Location January 06, 2021

Registered at 101 E WT HARRIS BLVD, STE 5002, CHARLOTTE, NC 282623485 (Tel: 7048017310)

📍
Updated Business Mailing Address January 06, 2021

Registered at PO BOX 19305, CHARLOTTE, NC 282199305

👤
Provider Name / Credentials Updated January 06, 2021

Recorded as BLAKELY WISE, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2021

Physician Assistant (License #0010-08866 in NC)

📍
Updated Practice Location March 16, 2019

Registered at 9611 SHERRILL ESTATES RD STE B, HUNTERSVILLE, NC 28078 (Tel: 4233437022)

📍
Updated Business Mailing Address March 16, 2019

Registered at PO BOX 9, ATTN CREDENTIALING, KINGSPORT, TN 37662 (Tel: 4238572066)

NPI Profile Active February 19, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location February 19, 2019

Registered at 19485 OLD JETTON RD STE 100, CORNELIUS, NC 280316583 (Tel: 7041775442)

📍
Updated Business Mailing Address February 19, 2019

Registered at 312 JACK CORPENING RD, NEBO, NC 287616767 (Tel: 8284426466)

👤
Provider Name / Credentials Updated February 19, 2019

Recorded as BLAKELY WISE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2019

Physician Assistant (License #0010-08866 in NC)

🟢
Initial NPI Registration & Enumeration February 19, 2019

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: 1396201935
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 19, 2019
Last Update: September 25, 2025
Sole Proprietor: No

Mailing Address

Po Box 19305

Charlotte, NC 282199305

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.