DR. MEGAN ELIZABETH BLACKMAN DMD
NPI 1043625619
Dentist in Jackson, MS

Q: What is Megan Blackman's NPI number?

The NPI number for Megan Blackman is 1043625619. It was assigned to this individual provider in the NPPES registry on June 23, 2014.

Q: What is Megan Blackman's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Megan Blackman was last updated on July 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.

Active since June 23, 2014PECOS Enrolled

2500 N STATE ST, JACKSON, MS 39216(601) 984-6028 Get Directions Write a Review

NPPES record last updated: July 7, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Megan Elizabeth Blackman Dmd NPPES

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

DR. MEGAN ELIZABETH BLACKMAN DMD (NPI 1043625619) is an individual dentist in Jackson, Mississippi, licensed in Mississippi (3764-14) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043625619

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. MEGAN ELIZABETH BLACKMANCredential: DMD

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2808 Highway 90Gautier, MS 39553-5170 · (228) 238-4047

Phone(601) 984-6028

Sole ProprietorNo

Enumeration DateJune 23, 2014

Last NPPES UpdateJuly 7, 2015

✔ NPI 1043625619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MS · 3764-14

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2500 N STATE ST, Jackson, MS 39216

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Megan Elizabeth Blackman Dmd 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.

Medicare Billing Reassignment

Medicare enrollment records show Megan Blackman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Coastal Family Health Center Inc

107 mi

Federally Qualified Health Center (FQHC)

39455 HIGHWAY 63 NORTH
Richton, MS 39476

Reassigned Medicare billing, Mississippi enrollment
90 clinicians in this Medicare group

NPI 1306931431 (601) 989-3105

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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