Derek Blankenship, PA-C
NPI 1194106690 · Physician Assistant · Jackson, TN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Derek Blankenship, PA-C is a Physician Assistant provider in Jackson, TN (NPI 1194106690).
Provider details
- NPI number
- 1194106690
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 2793 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-06-10
- Last updated
- 2015-10-05
Frequently asked questions
- What is Derek Blankenship's NPI number?
- Derek Blankenship's National Provider Identifier (NPI) is 1194106690, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derek Blankenship's specialty?
- Derek Blankenship is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Derek Blankenship located?
- Derek Blankenship's practice location on file with NPPES is 620 Skyline Dr, Jackson, TN 38301-3923.
- What is Derek Blankenship's phone number?
- The practice phone number listed in the NPPES registry for Derek Blankenship is (731) 541-6180.
- Does Derek Blankenship accept Medicare?
- Derek Blankenship is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Derek Blankenship's NPI active?
- Yes — Derek Blankenship's NPI (1194106690) is active in the NPPES registry as of the last update on 2015-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.