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

Mrs. Kimberlee Banks Blaylock, PA-C

Individual provider Physician Assistant · NPI 1225024029

Mrs. Kimberlee Banks Blaylock, PA-C is a Physician Assistant in Winston Salem, North Carolina. Qualified in 2004, 22 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
22
Licensed in
NC
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

131 Miller St
Winston Salem, NC 27103-2508
Phone: (336) 716-8200
Fax: (336) 716-9841
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 329 Nc Highway 801 N, Bermuda Run, NC 27006-7905 — (336) 716-8200
  • 170 Kimel Park Dr, Winston Salem, NC 27103-6946 — (336) 768-1270
  • 1950 S Hawthorne Rd, Winston Salem, NC 27103-3912 — (336) 718-8386

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 104141 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 0001-04141 (NC)

Record details

NPI number1225024029
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 27, 2005
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026

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 University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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