Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Blake Grayson Joeckel, MMS, PA-C

Individual provider Family Medicine Physician · NPI 1760946180

Blake Grayson Joeckel, MMS, PA-C is a Physician Assistant in Fayetteville, North Carolina. Qualified in 2018, 8 years ago. Practices with Cape Fear Valley Health Medical Group LLC, a 330-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
8
Licensed in
NC
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

116 Country Club Dr
Fayetteville, NC 28301-7604
Phone: (910) 488-0157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-08813 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0010-08813 (NC)

Record details

NPI number1760946180
Entity typeIndividual (Type 1)
GenderMale
Credentials MMS , PA-C
Sole proprietorYes
NPI enumeratedJanuary 30, 2019
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Cape Fear Valley Health Medical Group Llc — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fayetteville