NPI age
19 years
Enumerated 2007-05-02
● Active
Type 1 · Individual
DR. Blake Jeffrey Illston, D.O.
Illston is 1 of 14 emergency medicine providers in Fort Gordon and 1 of 1991 in Georgia.
Primary specialty
Emergency Medicine
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-03-29
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1991 active emergency medicine providers in Georgia.
NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
1 state
20% of peers hold multiple states
Subspecialties
1
In the 41% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-05Enumerated in NPPES
2007
2026
Where they practice
Practice location
300 W Hospital Rd
Fort Gordon, GA 309055741
Mailing address
300 W Hospital Rd
Fort Gordon, GA 309055741
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....
-
Emergency MedicineAn emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Practice context
Part of a multi-provider practice. 238 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 1991 Emergency Medicine providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
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.