Individual provider Active NPI

Brittony Lynn Blakey, D.O.

  • Dermatology Physician
  • Jacksonville, FL
National Provider Identifier
1790947935
Registry record updated May 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS17689 Issued in FL
Practice address
10175 Fortune Pkwy Unit 1203
Jacksonville, FL 32256-6758
Phone
(813) 321-1786
Fax
(813) 321-1787
NPI assigned
Jun 30, 2008
Last updated
May 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X OS17689 FL Primary

Addresses

Primary practice location

10175 Fortune Pkwy Unit 1203
Jacksonville, FL 32256-6758

Mailing address

18228 N US Highway 41
Lutz, FL 33549-4400
Phone (813) 321-1786

Other practice location 1

3200 3rd St S Ste 200
Jacksonville Beach, FL 32250-6097
Phone (813) 321-1786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170327000139 VA Practitioner - Dermatology 3476786492 Reassigns benefits to 2 organizations
I20211029001107 FL Practitioner - Dermatology 3476786492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christine S Rausch MD PCGroup PAC ID 8123046497, 9 clinicians

Practice addresses (Care Compare)

7813 Shrader Rd
Richmond, VA 23294-4210
Phone (804) 282-4940

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision30
Removal of skin lesions919
Removal or shaving of skin growth1-10
Skin biopsy367

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Skin Solutions Dermatology CurrentSince Oct 21, 2025 Accepting new patients
Christine S. Rausch, MD PC CurrentSince Sep 1, 2024 Accepting new patients
Skin Surgery Center of Virginia Current Accepting new patients
Adov Dermatology CurrentSince Apr 1, 2023 Accepting new patients
Douglas K Pierce MD PA PastSince May 15, 2026 Accepting new patients

Locations

10175 Fortune Pkwy
Unit 1203
Jacksonville, FL 32256
Phone (904) 519-5292

3200 3rd St S
Ste 200
Jax Bch, FL 32250
Phone (904) 249-6110

18228 N US Highway 41
Lutz, FL 33549

2510 Gaskins Rd
Richmond, VA 23238
Phone (804) 282-4940

7813 Shrader Rd
Richmond, VA 23294
Phone (804) 264-4262

Interoperability endpoints

  • Direct secure messaging: blakey.brittony.005.0090018@daos.meditab.direct-ci.com
  • Direct secure messaging: blakey.brittony.007.0090018@daos.meditab.direct-ci.com
  • Direct secure messaging: blakey.brittony.009.0090018@daos.meditab.direct-ci.com
  • Direct secure messaging: blakey.brittony.011.0090018@daos.meditab.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778284800000",
    "number": "1790947935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18228 N US HIGHWAY 41",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335494400",
            "telephone_number": "813-321-1786",
            "fax_number": "813-321-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10175 FORTUNE PKWY UNIT 1203",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566758",
            "telephone_number": "813-321-1786",
            "fax_number": "813-321-1787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 3rd St S Ste 200",
            "address_purpose": "LOCATION",
            "city": "Jacksonville Beach",
            "state": "FL",
            "postal_code": "322506097",
            "country_code": "US",
            "telephone_number": "813-321-1786",
            "fax_number": "813-321-1787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAKEY",
        "first_name": "BRITTONY",
        "middle_name": "LYNN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2026-05-09",
        "certification_date": "2026-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS17689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.