Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Blake Hanson McLemore, PA-C

Individual provider Physician Assistant · NPI 1902515687

Mr. Blake Hanson McLemore, PA-C is a Physician Assistant in Vestavia, Alabama. Qualified in 2022, 4 years ago. Practices with Stv Pulmonary Group LLC, a 25-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
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

3104 Blue Lake Dr Ste 110
Vestavia, AL 35243-2372
Phone: (205) 977-1205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1902515687
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 21, 2022
Last updated in NPPESNovember 21, 2022
Certification dateNovember 21, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Stv Pulmonary Group Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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