Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blake Andrew Embrey

Individual provider Nurse Practitioner · NPI 1770007452

Blake Andrew Embrey is a Nurse Practitioner in Coldwater, Mississippi. Qualified in 2017, 9 years ago. Accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
9
Licensed in
MS
In the registry since
2017

Practice location Address checks out

423 Central Ave
Coldwater, MS 38618
Phone: (662) 622-7011
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 902101 (MS)

Record details

NPI number1770007452
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 3, 2017
Last updated in NPPESAugust 3, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Coldwater