BLAKELY M YORK (PA-C) – Physician Assistant, NPI 1861612525

BLAKELY M YORK (PA-C) is a healthcare provider. based in Athens, Georgia. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 005036 (GA). The NPI Number for BLAKELY M YORK (PA-C) is 1861612525

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
BLAKELY M YORK (PA-C)
NPI
1861612525
Phone
(706) 546-5700
Address
270 HAWTHORNE AVE
Enumeration Date
26 April 2007
Last Update Date
9 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7065436443
Graduation Year
2006 (20 years ago)
PAC ID
9436256617
Group Practice PAC ID
4587652474
Professional Enrollment ID
I20070523000202
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for BLAKELY M YORK (PA-C)

  • 270 HAWTHORNE AVE

    SUITE A

    ATHENS, GA 306062881

    Phone: (706) 546-5700

    Type: Location

  • 1000 Cowles Clinic Way

    Greensboro, GA 306425285

    Phone: (706) 454-0159

    Type: Location

  • 1835 SAVOY DR STE 203

    ATLANTA, GA 303411073

    Phone:

    Type: Mailing

  • 125 KING AVE STE 200

    ATHENS, GA 306066710

    Phone: (706) 369-4477

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 48 Open Payments records for all available years, with a total value of $905.

Total Amount is formed as General ($905) + Research ($0) + Ownership ($0) = $905.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Novo Nordisk Inc ($235).

Total Amount

$905

General + Research + Ownership

Payments

48

Total payment records

General Amount

$905

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2007-05-23

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
I20070523000202IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30606)

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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: 4587652474View full group profile
NameSpecialtyState
Physician AssistantGA
Nurse PractitionerGA
Family PracticeGA
Family PracticeGA

Reviews

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Frequently asked questions

What is the registry number for BLAKELY M YORK (PA-C)?
The registry entry for BLAKELY M YORK (PA-C) shows NPI 1861612525.
Is BLAKELY M YORK (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists BLAKELY M YORK (PA-C) as active.
Which specialty label fits BLAKELY M YORK (PA-C)?
NPPES ties BLAKELY M YORK (PA-C) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to BLAKELY M YORK (PA-C)?
BLAKELY M YORK (PA-C) is associated with Athens, Georgia in the same public data insurers reference.
Can I export BLAKELY M YORK (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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