Physician Assistant
GABRIELLE BLAYLOCK PA-C, ATC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1346638905 · enumerated 2015-01-06 · record updated 2025-05-16. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 156 FOSTER DR STE B, MCDONOUGH, GA, 30253-5346 (770) 506-4119 Google Maps Apple Maps OpenStreetMap
- Mailing address 675 LAFAYETTE AVE APT 3207, FAYETTEVILLE, GA, 30214-5553 Google Maps Apple Maps OpenStreetMap
Specialties
- Specialist/Technologist, Athletic Trainer 2255A2300X
- Physician Assistant 363A00000X
- Physician Assistant 363A00000X · Primary · License 12282 GA
In this directory
Locations and evidence
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Practice location
MCDONOUGH, GA, 302535346
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.