Tameka Walker-Blake, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

062448 Issued in GA

Practice address

3949 S Cobb Dr SE
Smyrna, GA 30080-6342

Phone

(770) 438-5222

NPI assigned

May 15, 2009

Last updated

Oct 4, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Angelfish Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Covington, GA
  • NPI 1407259500
  Medicare reassignment NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  GA

  Medicare reassignment NPD
• Bainbridge Operator LLC

  dba Bainbridge Health and Rehab

  • Skilled Nursing Facility
  • Bainbridge, GA
  • NPI 1508038696
  NPD (past)
• Coliseum Drive Associates LLC

  dba Macon Rehabilitation and Healthcare

  • Skilled Nursing Facility
  • Macon, GA
  • NPI 1790252427
  NPD (past)
• Emerginet Henry, LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Atlanta, GA
  • NPI 1811946627
  NPD (past)
• Fort Valley Operator LLC

  dba Fort Valley Health and Rehab

  • Skilled Nursing Facility
  • Fort Valley, GA
  • NPI 1093987232
  NPD (past)
• Roberta Operator LLC

  dba Roberta Health and Rehab

  • Skilled Nursing Facility
  • Roberta, GA
  • NPI 1770755951
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1295960581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3949 S COBB DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806342",
            "telephone_number": "770-438-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 S COBB DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806342",
            "telephone_number": "770-438-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER-BLAKE",
        "first_name": "TAMEKA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-15",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "062448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nobuhiro Wago
• Walgreen Co (Walgreens #05758)
• Walgreen Co (Walgreens #05901)
• Walgreen Co (Walgreens #05902)
• Walgreen Co (Rite Aid #11725)
• Amber Walker
• Bianca Walker, LPC
• Sonya Coutee Wallace, WHNP-BC
• Kelly L Walsh
• Zachary E Walston, DPT

• Emergency Medicine Physician in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Emergency Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.