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

Jillian Marie Blalock, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003377466

Jillian Marie Blalock, DO is an Emergency Medicine in Marietta, Georgia. Graduated from West Virginia School of Osteopathic Medicine in 2019, 7 years ago. Practices with Gordon Emergency Physicians, LLC, a 21-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
7
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
GA
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

677 Church St NE
Marietta, GA 30060-1101
Phone: (770) 793-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 91161 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1003377466
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 28, 2019
Last updated in NPPESFebruary 28, 2023
Certification dateFebruary 28, 2023
Mailing address677 Church St Ne, Marietta, GA 30060-1101

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2019 (7 years in practice)
Group practice Gordon Emergency Physicians, Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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