Active NPI
Gregory Keyton Blaylock
- Family Medicine Physician
- Muskogee, OK
National Provider Identifier
1982274684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 8603
- Practice address
- 350 S 40TH St
Muskogee, OK 74401-4915 - Phone
- (918) 684-2663
- Fax
- (918) 681-6804
- NPI assigned
- Jun 25, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 8603 | OK | Primary |
Addresses
Primary practice location
350 S 40TH St
Muskogee, OK 74401-4915
Mailing address
6600 S Yale Ave Ste 1200
Tulsa, OK 74136-3333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Oklahoma State University College of Osteopathic Medicine, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6600 S Yale Ave
Suite 1200
Tulsa, OK 74136-3361
Hospital & facility affiliations
- Cherokee Nation W W Hastings Indian Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- keyton.blaylock@okstatw.edu
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1275799645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1982274684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 S YALE AVE STE 1200",
"city": "TULSA",
"state": "OK",
"postal_code": "741363333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 S 40TH ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744014915",
"telephone_number": "918-684-2663",
"fax_number": "918-681-6804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAYLOCK",
"first_name": "GREGORY",
"middle_name": "KEYTON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-25",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "8603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muskogee, OK
- Eric Dean Blackwood, D.C.
- Hunter Nicole Blair, LPN
- Sandra K Blakeslee, RN, BSN, CNOR
- Kellie Blankenship
- Leslie Renee Blankenship, B.A.
- Lacey Bree Lashley Blevins, OTR/L
- Blue Sky Behavior Al Health Inc
- Blue Sky Behavioral Health, Inc.
- Board of Regents of the University of Oklahoma Ou Physicians Tulsa
- Olukanyin M Bodeharrison, M.A
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.
- 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.