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

Mr. Blake Alexander Mattox, PA-C

Individual provider Medical Physician Assistant · NPI 1073163226

Mr. Blake Alexander Mattox, PA-C is a Physician Assistant in Winston Salem, North Carolina. Qualified in 2019, 7 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2019
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

1 Medical Center Blvd
Winston Salem, NC 27157-0001
Phone: (336) 716-2011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 601 N Elm St, High Point, NC 27262-4331 — (336) 878-6000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-09476 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0010-09476 (NC)

Record details

NPI number1073163226
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 18, 2019
Last updated in NPPESSeptember 24, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Winston Salem