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

Individual provider Anesthesiology Physician · NPI 1518920305

Dr. Donald Wayne Blackley, MD is an Anesthesiology in Charlotte, North Carolina. Graduated from Medical College of Georgia School of Medicine in 1986, 40 years ago. Practices with Lake Norman Anesthesia Associates, a 25-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
40
Trained at
Medical College of Georgia School of Medicine
Licensed in
NC
In the registry since
2006
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

2001 Vail Ave
Charlotte, NC 28207-1219
Phone: (704) 379-5956
Fax: (704) 379-6218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 00-38896 (NC)

Record details

NPI number1518920305
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2006
Last updated in NPPESAugust 21, 2008

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 1986 (40 years in practice)
Group practice Lake Norman Anesthesia Associates — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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