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

Matthew Jay Blocksom

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134052616

Matthew Jay Blocksom is a Student in an Organized Health Care Education/Training Program in Demorest, Georgia. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1021 Central Ave
Demorest, GA 30535-5252
Phone: (706) 778-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1134052616
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 4, 2026
Last updated in NPPESJune 4, 2026
Certification dateJune 1, 2026
Mailing address1021 Central Ave, Demorest, GA 30535-5252

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