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

William Blake Conner, PA

Individual provider Physician Assistant · NPI 1265822126

William Blake Conner, PA is a Physician Assistant in Fayetteville, North Carolina. Qualified in 2014, 12 years ago. Practices with Duke University Affiliated Physicians, Inc, a 449-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
12
Licensed in
NC
In the registry since
2015
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone: (910) 615-6949
Fax: (910) 615-9761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-05430 (NC)

Record details

NPI number1265822126
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 30, 2015
Last updated in NPPESJanuary 30, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Duke University Affiliated Physicians, Inc. — 449 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Fayetteville