Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blake Alexander Medley

Individual provider Physician Assistant · NPI 1043880834

Blake Alexander Medley is a Physician Assistant in Talbott, Tennessee. Qualified in 2021, 5 years ago. Practices with Primary Care Associates, PC, a 3-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
5
Licensed in
TN
In the registry since
2021

Practice location Address checks out

204 Shaver Dr
Talbott, TN 37877-8552
Phone: (423) 581-7040
Fax: (423) 581-9563
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4617 (TN)

Record details

NPI number1043880834
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 25, 2021
Last updated in NPPESJune 25, 2021
Certification dateJune 25, 2021
Mailing address204 Shaver Dr, Talbott, TN 37877-8552

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Primary Care Associates, Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Talbott