GARRETT BLALOCK (PA-C) – Medical Physician Assistant, NPI 1558739003

GARRETT BLALOCK (PA-C) is a healthcare provider. based in Tifton, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 7724 (GA). The NPI Number for GARRETT BLALOCK (PA-C) is 1558739003

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
GARRETT BLALOCK (PA-C)
NPI
1558739003
Phone
(229) 402-4430
Address
2081 CHULA BROOKFIELD RD
Enumeration Date
14 September 2015
Last Update Date
19 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2293914100
Graduation Year
2015 (11 years ago)
PAC ID
6608176995
Group Practice PAC ID
2062745169
Professional Enrollment ID
I20151118000117
Address ID
GA317942749TI2225XNXXX500

Contacts

Secure Messaging
garrett.blalock@trhs.cernerdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for GARRETT BLALOCK (PA-C)

  • 2081 CHULA BROOKFIELD RD

    TIFTON, GA 317942662

    Phone: (229) 402-4430

    Type: Mailing

  • 901 18TH ST E

    TIFTON, GA 317943648

    Phone: (229) 353-6051

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2023-11-29 • Largest payer in this snapshot: ABBVIE INC. ($50).

Total Amount

$50

General + Research + Ownership

Payments

2

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-29

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$50
View all Open Payments →|Open Payments Risk Radar →

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: 2015-11-18

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
I20151118000117IPhysician AssistantGATBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes8988$0
View full utilization report →

Insurance plans in this area (ZIP 31794)

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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: 2062745169View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
-GA
Nurse PractitionerGA
-GA
-GA
Nurse PractitionerGA
Family Practice, Emergency MedicineGA
Internal Medicine, Critical Care (Intensivists), Pulmonary Disease, Pulmonary DiseaseMD
-GA

Reviews

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Frequently asked questions

What federal number belongs to GARRETT BLALOCK (PA-C)?
The federal identifier for GARRETT BLALOCK (PA-C) is NPI 1558739003.
Does this profile mean GARRETT BLALOCK (PA-C) is currently active?
Yes — GARRETT BLALOCK (PA-C) appears active in the national provider directory.
Does GARRETT BLALOCK (PA-C) list a primary specialty?
If you are matching referrals, note Medical Physician Assistant for GARRETT BLALOCK (PA-C). Clinical services aligned with this taxonomy classification.
Where does public data place GARRETT BLALOCK (PA-C)?
The snapshot lists Tifton, Georgia for GARRETT BLALOCK (PA-C); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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