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

Waynesha E Blaylock, MD

Individual provider Internal Medicine Physician · NPI 1720721178

Waynesha E Blaylock, MD is a Pediatric Medicine in Mound Bayou, Mississippi. Graduated from Warren Alpert Medical School of Brown University in 2022, 4 years ago. Works from 2 locations. Licensed in Mississippi.

Years since qualifying
4
Trained at
Warren Alpert Medical School of Brown University
Licensed in
MS
In the registry since
2022
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

702 Martin Luther King St
Mound Bayou, MS 38762-9314
Phone: (662) 741-8800
Show map & directions

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

Additional practice locations (1)

  • 108 Penn Plz, Turtle Creek, PA 15145-1914 — (412) 823-3121

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 37144 (MS)
Internal Medicine Physician Taxonomy 207R00000X · Licence 37144 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1720721178
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 14, 2022
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026
Mailing address702 Martin Luther King St, Mound Bayou, MS 38762-9314

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Also practisesINTERNAL MEDICINE
Medical schoolWARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare