Individual provider · Type 1 NPI

Blake Grayson Joeckel, MMS, PA-C

Physician Assistant · Fayetteville, NC

NPI number 1760946180 Active

Practice location

116 Country Club Dr
Fayetteville, NC 28301-7604

Mailing address

3677 Glenbarry Cir
Fayetteville, NC 28314-2605

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X0010-08813 (NC)
Physician Assistant Primary 363A00000X0010-08813 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1760946180

Blake Grayson Joeckel, MMS, PA-C's National Provider Identifier is 1760946180, issued on Jan 30, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fayetteville, NC. The record was last updated on May 22, 2025.