THOMAS R. BLACKLEDGE JR. MD PA NPI 1376861757

NPI Information

  • NPI: 1376861757
  • Provider Name: THOMAS R. BLACKLEDGE, JR., MD, PA
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Other Name: MEDICAL CENTER OF MAGEE
  • Address: 800 3RD ST SW
    MAGEE, MS
    ZIP 39111
  • Phone: (601) 849-1918

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NPI Details

THOMAS R. BLACKLEDGE, JR., MD, PA is a family medicine in Magee, MS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. THOMAS R. BLACKLEDGE, JR., MD, PA NPI is 1376861757. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Medical Center Of Magee.

The provider's business location address is:

800 3RD ST SW
MAGEE, MS
ZIP 39111-951
Phone: (601) 849-1918
Fax: (601) 849-1908

The provider's authorized official is Thomas R. Blackledge .
The authorized official title is Md/owner and has the following contact phone number (601) 849-1918.

The enumeration date for this NPI number is 5/11/2010 and was last updated on 5/11/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine14559MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1080003399MEDICARE PINMISSISSIPPI
2G15278MEDICARE UPINMISSISSIPPI
300115523MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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