Physician Assistant
ZACHARY BLAKE
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 Plan acceptance stays unpublished until the practice reports it.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 1447901665 · enumerated 2022-01-11 · record updated 2026-04-29. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 2131 S 17TH ST, WILMINGTON, NC, 28401-7407 (910) 667-2606 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 936857, ATLANTA, GA, 31193-6857 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · License 2726 WV
- Physician Assistant 363A00000X · Primary · License 0010-15439 NC
In this directory
Locations and evidence
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Practice location
WILMINGTON, NC, 284017407
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.