Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Emmitt Matthew Blankenship, PA-C

Individual provider Physician Assistant · NPI 1366891830

Emmitt Matthew Blankenship, PA-C is a Physician Assistant in Memphis, Tennessee. Qualified in 2016, 10 years ago. Practices with Specialty Physician Group LLC, a 101-clinician group and accepts Medicare assignment. Licensed in Maryland and Tennessee.

Years since qualifying
10
Licensed in
MD, TN
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1325 Eastmoreland Ave Ste 365
Memphis, TN 38104-7542
Phone: (901) 272-6030
Fax: (901) 516-8450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3404 (TN)
Physician Assistant Taxonomy 363A00000X · Licence C06210 (MD)

Record details

NPI number1366891830
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 6, 2016
Last updated in NPPESDecember 14, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Specialty Physician Group Llc — 101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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