Individual provider · Type 1 NPI

Blake Edward Sidleck, PA

Physician Assistant · Atlanta, GA

NPI number 1831088343 Active

Practice location

550 Peachtree St NE Ste 1700
Atlanta, GA 30308-2262

Mailing address

5479 Glenridge Dr Apt 4404
Atlanta, GA 30342-1340

Other practice locations

  • 900 Towne Lake Pkwy Ste 300, Woodstock, GA 30189-1604 · (770) 926-7411

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

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 1831088343

Blake Edward Sidleck, PA's National Provider Identifier is 1831088343, issued on Jun 30, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Atlanta, GA. The record was last updated on Aug 12, 2026.