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

Individual provider Physician Assistant · NPI 1700302171

Mr. Blake Huddleston, PA-C is a Physician Assistant in Cookeville, Tennessee. Qualified in 2017, 9 years ago. Practices with Cookeville Regional Medical Group Inc, a 50-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
9
Licensed in
TN
In the registry since
2017
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

340 N Cedar Ave
Cookeville, TN 38501-2421
Phone: (931) 783-5353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 3389 (TN)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1700302171
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 17, 2017
Last updated in NPPESOctober 25, 2023
Certification dateOctober 25, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Cookeville Regional Medical Group Inc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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