Mary Anne Blake, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Nashville, TN
NPI 1245233402 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1245233402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 17318 (TN)
- Practice address
- 2201 Murphy Ave
Ste 102
Nashville, TN 37203-1835 - Phone
- (615) 329-9586
- Fax
- (615) 329-9504
- NPI assigned
- May 23, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040325000808 | TN | Practitioner - Obstetrics/Gynecology | 0648162792 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17318 | TN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Women'S Care Diagnostics, LLC | Obstetrics & Gynecology | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 17318 | TN | Yes |
Addresses
Primary practice location
2201 Murphy Ave
Ste 102
Nashville, TN 37203-1835
Mailing address
PO Box 440222
Nashville, TN 37244-0222
Phone (615) 329-9586
Other providers in Nashville, TN
- Mary Elizabeth Blair
- Paul W. Blair
- Selah Blair
- Terry L. Blair
- Alicia Gabrielle Blake
- Blakeford at Green Hills Corporation
- Martin L. Blakely
- Latrina Novelle Blakemore
- Rosie K Blakemore
- Diana S Blakeney
All providers in Nashville, TN · Obstetrics & Gynecology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.