NPI age
7 years
Enumerated 2019-03-28
● Active
Type 1 · Individual
Jillian Marie Blalock, DO
Blalock is 1 of 70 emergency medicine providers in Marietta and 1 of 2,027 in Georgia.
Primary specialty
Emergency Medicine
Plus 1 subspecialty
Licensed in
GA, NU
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-02-28
Source: CMS NPPES provider record
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2027 active emergency medicine providers in Georgia.
NPI age
7 years
↓ 10 yr below median (17 yr)
State licenses
2 states
Top 70% — 29% of peers are multi-state
Subspecialties
1
In the 41% of peers with subspecialties
NPI lifetime · 2019 → 2023
2019-03Enumerated in NPPES
2019
2023
Where they practice
Practice location
677 Church St Ne
Marietta, GA 300601101
Mailing address
677 Church St Ne
Marietta, GA 300601101
Specialties
-
Emergency Medicine PrimaryAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
-
Student in an Organized Health Care Education/Training ProgramAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare directory context
Medicare specialties
Emergency Medicine
Medical school
West Virginia School Of Osteopathic Medicine
Graduation year 2019
Largest Medicare group
3059 members
Largest listed enrollment group
Facility affiliations reported by CMS
- Allatoona Emergency Group Pc
- Gordon Emergency Physicians, Llc
- Wellstar Medical Group Llc
Practice context
Part of a multi-provider practice. 485 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.