Individual provider Active NPI

James Davis Blake, MD

  • Family Medicine Physician
  • Hoover, AL
National Provider Identifier
1881616191
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8072 Issued in AL
Practice address
3081 Lorna Rd
Suite 101
Hoover, AL 35216-4579
Phone
(205) 979-3381
NPI assigned
Jul 24, 2006
Last updated
Aug 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 8072 AL Primary

Addresses

Primary practice location

3081 Lorna Rd
Suite 101
Hoover, AL 35216-4579

Mailing address

3081 Lorna Rd
Suite 101
Hoover, AL 35216-4579
Phone (205) 979-3381

Other identifiers 2

IdentifierTypeStateIssuer
009936823MedicaidAL
515-00146OtherALBLUE CROSS OF AL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8072ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Bibb County Healthcare Authority Current Accepting new patients
Eon Care Services, LLC PastSince Aug 11, 2025 Accepting new patients
City of Jackson Healthcare Authority Past Accepting new patients

Locations

405 Belcher St
Centreville, AL 35042
Phone (205) 926-4694

208 Pierson Ave
Centreville, AL 35042
Phone (205) 926-3230

Organizations & group practices 3

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1881616191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3081 LORNA RD",
            "address_2": "SUITE 101",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352164579",
            "telephone_number": "205-979-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3081 LORNA RD",
            "address_2": "SUITE 101",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352164579",
            "telephone_number": "205-979-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "JAMES",
        "middle_name": "DAVIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "8072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009936823",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF AL",
            "identifier": "515-00146",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.