MRS. CHERRON LAKISHA BLAKELY (NPI# 1073630059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073630059 |
| Entity Type | Individual |
| Full Name | MRS. CHERRON LAKISHA BLAKELY |
| Credential | MT, CLS |
| Practice Address |
1826 Veterans Blvd Bldg 3a, Pathology and Laboratory Medicine Dublin GA 31021-3620 |
| Mailing Address |
652 Hatchee Ridge Rd Dublin GA 31021-0888 |
| Practice Telephone | 4782772750 |
| Practice Fax Number | 4782772840 |
| Mailing Telephone | 4786763081 |
| Mailing Fax Number | 4782772840 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 246QM0706X |
Spec/Tech, Pathology Specialization: Medical Technologist |
9909695 | MD | Technologists, Technicians & Other Technical Service Providers |
| X | 246QM0706X |
Spec/Tech, Pathology Specialization: Medical Technologist |
219139 | MD | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1826 VETERANS BLVD BLDG 3A, PATHOLOGY AND LABORATORY MEDICINE |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021-3620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306848924 | Kathleen Lindauer Greer | Pharmacist | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2005-08-12 |
| 1396351359 | Lanira Postell | Social Worker | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2020-09-16 |
| 1780298398 | Jane Frances Helsing | Recreation Therapist | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2020-09-01 |
| 1154931996 | Maria Danielle Hall | Speech-Language Pathologist | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2020-08-06 |
| 1093325060 | Jessica Williams | Counselor | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2020-08-05 |
| 1528683083 | Jean Elizabeth Evans | Social Worker | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2020-06-10 |
| 1518581628 | Georgette Lacosta Brown | Social Worker | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2020-06-04 |
| 1760020150 | Lauren Avery | Pharmacist | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2019-12-16 |
| 1285279737 | Mia Denise Pickard | Nurse Practitioner | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2019-11-07 |
| 1083258057 | Shannon Nayasha Johnson | Social Worker | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2019-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
| 1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
| 1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
| Find all providers in zip 31021 | ||||
| Taxonomy Code | 246QM0706X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Pathology |
| Specialization | Medical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083171045 | Arianna Curtis Bartleson | Spec/Tech, Pathology | 1014 Durban Dr, Grovetown, GA 30813-2243 | 2019-02-26 |
| 1093010548 | Beverley Hyacinth Chin | Spec/Tech, Pathology | 4435 Boatmans Cv, Stone Mountain, GA 30083-2483 | 2011-01-13 |
| 1306164496 | Daphne Dixon Puckett | Spec/Tech, Pathology | 3652 Pearl St, Shellman, GA 39886 | 2010-05-13 |
| 1841453701 | Susan D Bulla | Spec/Tech, Pathology | 86 South Cobb Drive, Mail Zone 0454, Marietta, GA 30066-0454 | 2008-07-09 |
| 1619916186 | Jonathan Blackmon | Spec/Tech, Pathology | 603 Wild Grape Dr, Saint Marys, GA 31558-3619 | 2006-06-06 |
| 1518513233 | Mukhtar O Awad | Spec/Tech, Pathology | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2019-08-19 |
Please comment or provide details below to improve the information on MRS. CHERRON LAKISHA BLAKELY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.