DR. HENRY DOUGLAS BLACKABY DO
NPI 1043013337
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Active since March 31, 2025PECOS Enrolled
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157(336) 716-2694 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Henry Douglas Blackaby Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HENRY DOUGLAS BLACKABY DO (NPI 1043013337) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043013337
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. HENRY DOUGLAS BLACKABYCredential: DO
Location Address1 MEDICAL CENTER BLVDWinston Salem, NC 27157-0001
Mailing Address109 Germantown CirHallsville, TX 75650-9503 · (817) 235-1254
Sole ProprietorNo
Enumeration DateMarch 31, 2025
Last NPPES UpdateApril 3, 2025
NPPES CertifiedApril 3, 2025
NPI 1043013337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 MEDICAL CENTER BLVD, Winston Salem, NC 27157

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Henry Douglas Blackaby Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
1 MEDICAL CENTER BLVD
WINSTON-SALEM, NC 27157
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Nurse Practitioner (Family)
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Genetic Counselor, MS
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Henry Blackaby's NPI number?

The NPI number for Henry Blackaby is 1043013337. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Henry Blackaby located?

Henry Blackaby practices at 1 Medical Center Blvd, Winston Salem, NC 27157. The listed phone number is (336) 716-2694.

What is Henry Blackaby's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Henry Blackaby enrolled in Medicare?

Yes. Henry Blackaby is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Henry Blackaby was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.