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

Justin Blaylock, PA

Individual provider Physician Assistant · NPI 1871548909

Justin Blaylock, PA is a Physician Assistant in High Point, North Carolina. Qualified in 2004, 22 years ago. Practices with Wake Forest Health Network LLC, a 271-clinician group, accepts Medicare assignment and offers telehealth. Licensed in South Carolina.

Years since qualifying
22
Licensed in
SC
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1814 Westchester Dr Ste 201
High Point, NC 27262-7369
Phone: (336) 802-2090
Fax: (336) 802-2091
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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 955 (SC)

Record details

NPI number1871548909
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 24, 2006
Last updated in NPPESDecember 30, 2009
Mailing address1701 Westchester Dr, Ste 850, High Point, NC 27262-7254

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Wake Forest Health Network Llc — 271 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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