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

Dr. Mott Parks Blair IV, MD

Individual provider Family Medicine Physician · NPI 1447237623

Dr. Mott Parks Blair IV, MD is a Family Practice in Wallace, North Carolina. Graduated from Brody School of Medicine at East Carolina University in 1987, 39 years ago. Practices with Vidant Medical Group LLC, a 974-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
39
Trained at
Brody School of Medicine at East Carolina University
Licensed in
NC
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

125 River Vine Pkwy
Wallace, NC 28466-2377
Phone: (910) 285-2134
Fax: (910) 285-3380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 38496 (NC)

Record details

NPI number1447237623
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 28, 2005
Last updated in NPPESJanuary 13, 2022
Certification dateJanuary 13, 2022

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolBRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduated 1987 (39 years in practice)
Group practice Vidant Medical Group Llc — 974 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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