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GREGORY D BLACKMON M.D. NPI 1609898865


NPI Information

NPI: 1609898865
Provider Name: GREGORY D BLACKMON, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
7714 CONNER RD
SUITE 101
POWELL, TN
ZIP 37849
Phone: (865) 212-6350
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Gregory D Blackmon, M.D. is a pediatrics in Powell, TN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Gregory D Blackmon, M.D. NPI is 1609898865. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7714 CONNER RD
SUITE 101
POWELL, TN
ZIP 37849-559
Phone: (865) 212-6350
Fax: (865) 212-6350

The enumeration date for this NPI number is 7/24/2006 and was last updated on 7/9/2007.


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
1208000000XPediatrics28729TENNESSEEYes

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
11MEDICARE UPINTENNESSEE
22MEDICAIDTENNESSEE

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: 5/5/2024

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