Individual provider Active NPI

Blake Lemley Pate, D.C.

  • Chiropractor
  • Panama City Beach, FL
National Provider Identifier
1801319249
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4279 Issued in OK
Practice address
2427 Thomas Dr
Panama City Beach, FL 32408-5808
Phone
(850) 234-2387
NPI assigned
Jul 18, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4279 OK Primary

Addresses

Primary practice location

2427 Thomas Dr
Panama City Beach, FL 32408-5808

Mailing address

11427 E 110TH PL N
Owasso, OK 74055-6688
Phone (251) 227-2186

Other practice location 1

900 E Will Rogers Blvd Ste D
Claremore, OK 74017-6307
Phone (918) 341-6535

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180130000611 AL Practitioner - Chiropractic 7719247303 Reassigns benefits to 1 organization
I20220415000644 FL Practitioner - Chiropractic 7719247303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beach Chiropractic Clinic LLCGroup PAC ID 7719373968, 2 clinicians

Practice addresses (Care Compare)

2421 Thomas Dr
Panama City, FL 32408-5808
Phone (850) 234-2387

2427 Thomas Dr
Panama City Beach, FL 32408-5808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4279OKMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Chiropractic Clinic LLC Chiropractor CurrentSince Apr 1, 2022 Accepting new patients
Mark D. White D.C. P.a. Chiropractor CurrentSince Mar 20, 2022 Accepting new patients
Wiregrass Therapy Solutions Inc CurrentSince Oct 1, 2018 Accepting new patients
Dothan Spine & Specialty LLC CurrentSince Aug 30, 2017 Accepting new patients

Locations

418 N Foster St
Dothan, AL 36303
Phone (334) 793-1081

412 N Foster St
Dothan, AL 36303
Phone (334) 793-1081

1817 S Oates St
Dothan, AL 36301
Phone (334) 793-1081

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1801319249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11427 E 110TH PL N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740556688",
            "telephone_number": "251-227-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2427 THOMAS DR",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324085808",
            "telephone_number": "850-234-2387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 E Will Rogers Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Claremore",
            "state": "OK",
            "postal_code": "740176307",
            "country_code": "US",
            "telephone_number": "918-341-6535",
            "fax_number": "918-341-6566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATE",
        "first_name": "BLAKE",
        "middle_name": "LEMLEY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-18",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.