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

Blake Landon Smith, PA

Individual provider Physician Assistant · NPI 1336871011

Blake Landon Smith, PA is a Physician Assistant in Salisbury, North Carolina. Qualified in 2022, 4 years ago. Practices with Comprehab, Inc, a 398-clinician group. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

810 Mitchell Ave
Salisbury, NC 28144-6253
Phone: (336) 870-7093
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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 0010-12327 (NC)

Record details

NPI number1336871011
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 30, 2022
Last updated in NPPESAugust 19, 2022
Certification dateAugust 18, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Comprehab, Inc — 398 clinicians
Accepts Medicare assignment Not indicated
Practice locations6 on file with Medicare

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