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VICTOR JOSEPH HUBERT BLACKETT MD
NPI 1063701100
General Practice in Old Hickory, TN

Active since March 29, 2011PECOS Enrolled
677 GRANWOOD BLVD, OLD HICKORY, TN 37138(615) 336-2242 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Victor Joseph Hubert Blackett Md NPPES

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

VICTOR JOSEPH HUBERT BLACKETT MD (NPI 1063701100) is an individual general practice provider in Old Hickory, Tennessee, licensed in Tennessee (50256) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063701100
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameVICTOR JOSEPH HUBERT BLACKETTCredential: MD
Location Address677 GRANWOOD BLVDOld Hickory, TN 37138-4243
Mailing Address677 Granwood BlvdOld Hickory, TN 37138-4243 · (615) 336-2242
Phone(615) 336-2242
Sole ProprietorNo
Enumeration DateMarch 29, 2011
Last NPPES UpdateMarch 17, 2018
✔ NPI 1063701100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in TN · 50256
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
677 GRANWOOD BLVD, Old Hickory, TN 37138
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victor Joseph Hubert Blackett Md 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.

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 Victor Blackett's NPI number?

The NPI number for Victor Blackett is 1063701100. It was assigned to this individual provider in the NPPES registry on March 29, 2011.

Where is Victor Blackett located?

Victor Blackett practices at 677 Granwood Blvd, Old Hickory, TN 37138. The listed phone number is (615) 336-2242.

What is Victor Blackett's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Victor Blackett enrolled in Medicare?

Yes. Victor Blackett is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Victor Blackett was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.