P Praxis·MD
● Active Type 1 · Individual

Garrett Blalock, PA-C

Physician Assistant·Tifton, GA· NPI 1558739003 · Enumerated 2015 · 10 years on NPI
Blalock is 1 of 4 physician assistant providers in Tifton and 1 of 1333 in Georgia.
NPI age
10 years
Enumerated 2015-09-14
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-11-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1333 active physician assistant providers in Georgia.

NPI age
10 years
↓ 5 yr below median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2015 → 2026

2015-09Enumerated in NPPES
2015 2026

Where they practice

Practice location
901 18th St E
Tifton, GA 317943648
📞 2293536051
Mailing address
2081 Chula Brookfield Rd
Tifton, GA 317942662
📞 2294024430

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #7724 taxonomy 363AM0700X

Practice context

Part of a multi-provider practice. 169 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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