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

Somer Blake

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1942058201

Somer Blake is a Physician Assistant in Atlanta, Georgia. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2024
Specialties on file
2

Practice location Address checks out

720 Westview Dr SW
Atlanta, GA 30310-1458
Phone: (404) 756-1959
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA20264 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1942058201
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 10, 2024
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026
Mailing address4560 Lake Hill Trl, Ellenwood, GA 30294-1693

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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