DR. WESLEY LANE BLACKWOOD M.D.
NPI 1093930208
Pediatrics - Pediatric Cardiology in Macon, GA

Active since April 13, 2007PECOS Enrolled
1062 FORSYTH ST, SUITE 3A, MACON, GA 31201(478) 743-4622 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2026, Jan 22, 2021 (2 updates tracked since 2021).

About Dr. Wesley Lane Blackwood M.d. NPPES

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

DR. WESLEY LANE BLACKWOOD M.D. (NPI 1093930208) is an individual pediatric cardiology provider in Macon, Georgia, licensed in Georgia (062657) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (2003).

NPPES Registry Identity

NPI1093930208
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. WESLEY LANE BLACKWOODCredential: M.D.
Location Address1062 FORSYTH ST, SUITE 3AMacon, GA 31201-8637
Mailing Address2970 Brandywine Rd Ste 125Atlanta, GA 30341-5521 · (404) 256-2593 · Fax (770) 488-9408
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2003
Enumeration DateApril 13, 2007
Last NPPES UpdateApril 23, 20262 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
NPI 1093930208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License Licensed in GA · 062657
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
1062 FORSYTH ST, Macon, GA 31201

Accepted Insurance

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. Wesley Lane Blackwood M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294889788
PECOS Enrollment IDI20090818000606
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 (Gynecology)
1062 FORSYTH ST, STE 3-B
MACON, GA 31201
Advanced Practice Midwife
1062 FORSYTH ST, STE 3B
MACON, GA 31201
Obstetrics & Gynecology
1062 FORSYTH ST, SUITE 2E
MACON, GA 31201
Specialist
1062 FORSYTH ST, SUITE 1B
MACON, GA 31201
Family Medicine
1062 FORSYTH ST, STE 3E
MACON, GA 31201
Obstetrics & Gynecology (Gynecology)
1062 FORSYTH ST, SUITE 3 B
MACON, GA 31201
Obstetrics & Gynecology
1062 FORSYTH ST, SUITE 3-B
MACON, GA 31201
Obstetrics & Gynecology
1062 FORSYTH ST, SUITE 3-B
MACON, GA 31201

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 Wesley Blackwood's NPI number?

The NPI number for Wesley Blackwood is 1093930208. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Where is Wesley Blackwood located?

Wesley Blackwood practices at 1062 Forsyth St Suite 3A, Macon, GA 31201. The listed phone number is (478) 743-4622.

What is Wesley Blackwood's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Wesley Blackwood enrolled in Medicare?

Yes. Wesley Blackwood is registered in the Medicare PECOS enrollment system.

What insurance does Wesley Blackwood accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Wesley Blackwood as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wesley Blackwood was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.