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

Blake Sanders

Individual provider Emergency Medicine Physician · NPI 1306588520

Blake Sanders is an Emergency Medicine in Jackson, Mississippi. Graduated from William Carey University College of Osteopathic Medicine in 2022, 4 years ago. Licensed in Georgia.

Years since qualifying
4
Trained at
William Carey University College of Osteopathic Medicine
Licensed in
GA
In the registry since
2022
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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 105368 (GA)

Record details

NPI number1306588520
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 8, 2022
Last updated in NPPESNovember 13, 2025
Certification dateNovember 13, 2025
Mailing address413 West Third Avenue, Albany, GA 31701

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolWILLIAM CAREY UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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