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

Dr. Blake Krefton Willis, MD

Individual provider Emergency Medicine Physician · NPI 1841553328

Dr. Blake Krefton Willis, MD is an Emergency Medicine in Charleston, South Carolina. Graduated from Medical College of Georgia School of Medicine in 2012, 14 years ago. Practices with Acs Primary Care Physicians - Southeast PC, a 410-clinician group and accepts Medicare assignment. Licensed in South Carolina.

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

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

169 Ashley Ave
Charleston, SC 29425-8908
Phone: (843) 792-1414
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence LL 34844 (SC)

Record details

NPI number1841553328
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 20, 2012
Last updated in NPPESJuly 1, 2015

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Acs Primary Care Physicians - Southeast Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Charleston