NPI age
15 years
Enumerated 2011-02-03
● Active Type 2 · Organization
W Kenny Blake MD Llc
W Kenny Blake MD Llc is 1 of 5448 family medicine organizations in Georgia.
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Blake
Owner
Last NPPES update
2011-02-04
Source: monthly bulk 2026-05
How this organization compares
Across 5448 active family medicine providers in Georgia.
NPI age
15 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-02Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
545 Venture Court
Monticello, GA 31064
Mailing address
545 Venture Court
Monticello, GA 31064
Authorized official
Wyatt K Blake, MD
Owner
📞 7064687002
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Shannon Barton Family Medicine NPI 1295738722
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.