DARRYL E BLALOCK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1003083478

DARRYL E BLALOCK (CRNA) is a healthcare provider. based in Gainesville, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN129189 (GA). The NPI Number for DARRYL E BLALOCK (CRNA) is 1003083478

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DARRYL E BLALOCK (CRNA)
NPI
1003083478
Phone
(770) 532-7179
Address
PO BOX 1076
Enumeration Date
14 May 2008
Last Update Date
27 March 2012

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
4236390941
Graduation Year
2007 (19 years ago)
PAC ID
8921177833
Group Practice PAC ID
9931594942
Professional Enrollment ID
I20080519000490
Address ID
GA305123139BL35XXXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA

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Provider Addresses for DARRYL E BLALOCK (CRNA)

  • PO BOX 1076

    GAINESVILLE, GA 305031076

    Phone: (770) 532-7179

    Fax: (770) 534-1312

    Type: Mailing

  • Northeast Georgia Medical Center, 743, Spring Street Northeast, Gainesville, Hall County, Georgia, 30501, United States

    GAINESVILLE, GA 305013715

    Phone: (770) 532-7179

    Fax: (770) 534-1312

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-05-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080519000490ICertified Registered Nurse Anesthetist (Crna)GATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
01992Anesthesia for nerve block and injection procedure, prone position6643$0
00142Anesthesia for lens surgery3533$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)2525$0
00812Anesthesia for exam of colon using an endoscope2121$0
01940Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance1816$0
View full utilization report →

Insurance plans in this area (ZIP 30503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931594942View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MS
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)SC
Certified Registered Nurse Anesthetist (Crna)SC
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)NC

Reviews

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Frequently asked questions

What identifier follows DARRYL E BLALOCK (CRNA) across health systems?
The NPI 1003083478 uniquely identifies DARRYL E BLALOCK (CRNA) in U.S. healthcare data.
Is DARRYL E BLALOCK (CRNA)'s NPI status active today?
Active status means DARRYL E BLALOCK (CRNA)'s NPI record is not deactivated in the public file.
What type of care does DARRYL E BLALOCK (CRNA) provide?
DARRYL E BLALOCK (CRNA)'s profile centers on Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What city is tied to DARRYL E BLALOCK (CRNA)?
The directory associates DARRYL E BLALOCK (CRNA) with Gainesville, Georgia. Check all listed addresses for suites or satellite offices.
Why is information missing for DARRYL E BLALOCK (CRNA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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