OPAL MULLINGS BLAKE (NP-C) – Nurse Practitioner, NPI 1043629140
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for OPAL MULLINGS BLAKE (NP-C)
631 PROFESSIONAL DR
SUITE 350
LAWRENCEVILLE, GA 30046
Phone: (770) 995-0630
Fax: (770) 682-0088
Type: Mailing
631 PROFESSIONAL DR STE 350
LAWRENCEVILLE, GA 300463370
Phone: (770) 995-0630
Fax: (770) 995-1555
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $148.
Total Amount is formed as General ($148) + Research ($0) + Ownership ($0) = $148.
Last reported payment date: 2024-10-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($117).
Total Amount
$148
General + Research + Ownership
Payments
4
Total payment records
General Amount
$148
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $117 |
| PFIZER INC. | $18 |
| GlaxoSmithKline, LLC. | $14 |
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: 2014-10-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141017002324 | I | Nurse Practitioner | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 45 | 34 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 28 | 23 | $0 |
Insurance plans in this area (ZIP 30046)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | GA | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 16 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | GA | |
| Pulmonary Disease | GA | |
| Pulmonary Disease | NC | |
| Critical Care (Intensivists), Pulmonary Disease | KY | |
| Pulmonary Disease, Critical Care (Intensivists) | GA | |
| - | GA | |
| Pulmonary Disease, Sleep Medicine | GA | |
| Pulmonary Disease | GA | |
| Pulmonary Disease, Internal Medicine | AL | |
| Pulmonary Disease | GA |
Reviews
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