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

Dr. Bryan David Blake, MD

Individual provider Family Medicine Physician · NPI 1316930118

Dr. Bryan David Blake, MD is a Family Practice in Lithia Springs, Georgia. Graduated from Morehouse School of Medicine in 1993, 33 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
33
Trained at
Morehouse School of Medicine
Licensed in
GA
In the registry since
2005
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

939 Thornton Rd
Lithia Springs, GA 30122-2634
Phone: (770) 948-5400
Fax: (770) 948-4930
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 040613 (GA)

Record details

NPI number1316930118
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 26, 2005
Last updated in NPPESJune 30, 2020
Certification dateJune 30, 2020
Mailing address939 Thornton Rd, Lithia Springs, GA 30122-2634

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMOREHOUSE SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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