NPI age
1 years
Enumerated 2024-06-28
● Active
Type 1 · Individual
MR. Israel Dennard Blake
Blake is 1 of 2 religious nonmedical practitioner providers in Thomasville and 1 of 15 in Georgia.
Primary specialty
Religious Nonmedical Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-06-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 15 active religious nonmedical practitioner providers in Georgia.
NPI age
1 years
↓ 4 yr below median (5 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 40% of peers with subspecialties
NPI lifetime · 2024 → 2026
2024-06Enumerated in NPPES
2024
2026
Where they practice
Practice location
228 Augusta Ave
Thomasville, GA 317927003
Mailing address
Po Box 2763
Thomasville, GA 317992763
Specialties
-
Religious Nonmedical Practitioner PrimaryA religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence.
-
CounselorDefinition to come...
Practice context
Part of a multi-provider practice. 4 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.