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

Blake Olmsted, MD

Individual provider Allergy & Immunology Physician · NPI 1780948216

Blake Olmsted, MD is an Allergy/Immunology in Hattiesburg, Mississippi. Graduated from University of Mississippi School of Medicine in 2012, 14 years ago. Practices with Hattiesburg Clinic PA, a 530-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
14
Trained at
University of Mississippi School of Medicine
Licensed in
MS
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6414 U S Highway 98 Ste 80
Hattiesburg, MS 39402-7838
Phone: (601) 261-1800
Fax: (601) 261-1801
Show map & directions

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

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X · Licence 23912 (MS)

Record details

NPI number1780948216
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2012
Last updated in NPPESAugust 11, 2020
Certification dateAugust 11, 2020

Medicare enrollment

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

Medicare specialtyALLERGY/IMMUNOLOGY
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Hattiesburg Clinic Pa — 530 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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