Zachary Ian Blake
NPI 1447901665ActiveIndividual· Physician Assistant· Wilmington, NC
Physician Assistant with Charleston Area Medical Center Inc and 1 other group, practicing in Wilmington, North Carolina. Enrolled in Medicare as practitioner - physician assistant and practitioner - physician assistant. Lists Novant Health New Hanover Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1447901665 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jan 11, 2022 |
| Last updated in NPPES | Apr 29, 2026 |
| Certified by provider | Apr 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 0010-15439 | NC |
| Physician Assistant | 363A00000X | 2726 | WV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NC); Practitioner - Physician Assistant (WV) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Charleston Area Medical Center IncCharleston, WV · 985 clinicians
- Novant Health Medical Group Coastal Region LLCLeland, NC · 599 clinicians
Hospital affiliation
- Novant Health New Hanover Regional Medical CenterWilmington, NC
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 394 physician assistants in Wilmington · All physician assistants in North Carolina