Blake Jeffrey Illston, D.O.

Emergency Medicine Physician · Fort Gordon, GA

Individual Active NPI

NPI number 1487876355

Practice location

300 W Hospital Rd
Fort Gordon, GA 30905-5741
Phone
(706) 787-9285

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NPI record

NPI
1487876355
Entity type
Individual (Type 1)
Enumeration date
May 2, 2007
Last updated
July 29, 2026
Certified
July 29, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Emergency Medicine Physician Primary 207P00000X 68035 GA
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X RTP001882 GA

About Dr. Illston

Blake Jeffrey Illston, D.O. is a healthcare provider registered in the NPI registry with the primary taxonomy Emergency Medicine Physician (code 207P00000X). The practice location is 300 W Hospital Rd, Fort Gordon, GA 30905-5741. The NPI number 1487876355 was assigned on May 2, 2007 and the record was last updated on July 29, 2026.

Dr. Illston lists 2 licenses in the registry: #68035 (GA) for Emergency Medicine Physician; #RTP001882 (GA) for Emergency Medical Services (Emergency Medicine) Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Blake Jeffrey Illston, D.O.?

The NPI number is 1487876355.

What is the phone number of Dr. Illston?

The phone number listed for the practice location is (706) 787-9285.

Where is Dr. Illston located?

300 W Hospital Rd, Fort Gordon, GA 30905-5741.

What is the taxonomy code for Dr. Illston?

The primary taxonomy code is 207P00000X – Emergency Medicine Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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