IndividualActive
Phyllisa Blake, RN
NPI 1629329453 · Registered Nurse · Chamblee, GA
Phyllisa Blake, RN is a Registered Nurse provider in Chamblee, GA (NPI 1629329453).
Provider details
- NPI number
- 1629329453
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- RN196553 (GA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
3807 Clairmont Rd
Chamblee, GA 30341-4911
Phone: (770) 454-1144
Fax: (770) 452-4468
Street-level locationGet directions
Mailing address
4312 Rickenbacker Way Ne
Atlanta, GA 30342-3713
Registry dates
- Enumerated
- 2012-09-19
- Last updated
- 2012-09-24
Frequently asked questions
- What is Phyllisa Blake's NPI number?
- Phyllisa Blake's National Provider Identifier (NPI) is 1629329453, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Phyllisa Blake's specialty?
- Phyllisa Blake is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Phyllisa Blake located?
- Phyllisa Blake's practice location on file with NPPES is 3807 Clairmont Rd, Chamblee, GA 30341-4911.
- What is Phyllisa Blake's phone number?
- The practice phone number listed in the NPPES registry for Phyllisa Blake is (770) 454-1144.
- Is Phyllisa Blake's NPI active?
- Yes — Phyllisa Blake's NPI (1629329453) is active in the NPPES registry as of the last update on 2012-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.