AMANDA BLACKWELL MD
NPI 1104529551
Emergency Medicine in Jackson, MS

Q: What is Amanda Blackwell's NPI number?

The NPI number for Amanda Blackwell is 1104529551. It was assigned to this individual provider in the NPPES registry on March 24, 2023.

Q: What is Amanda Blackwell's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Blackwell was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 24, 2023PECOS EnrolledAccepts Medicare Assignment

2500 N STATE ST, JACKSON, MS 39216(228) 218-0246 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jul 12, 2023, Mar 27, 2023, Mar 24, 2023 (3 updates tracked since 2023).

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About Amanda Blackwell Md NPPES

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

AMANDA BLACKWELL MD (NPI 1104529551) is an individual emergency medicine provider in Jackson, Mississippi, licensed in Mississippi (T-5140) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with University Of Mississippi Med Center, and is a graduate of University Of Mississippi School Of Medicine (2023).

NPPES Registry Identity

NPI1104529551

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameAMANDA BLACKWELLCredential: MD

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500

Phone(228) 218-0246

Sole ProprietorNo

Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2023

Enumeration DateMarch 24, 2023

Last NPPES UpdateJuly 12, 20233 updates tracked since enumeration

NPPES CertifiedJuly 12, 2023

✔ NPI 1104529551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in MS · T-5140

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2500 N STATE ST, Jackson, MS 39216

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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 and accepts Medicare assignment

Amanda Blackwell Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870954571

PECOS Enrollment IDI20260629004521

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Mississippi Med Center

Acute Care Hospitals · Jackson, MS

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number250001

Location2500 N State StJackson, MS 39216 · Hinds County

Emergency services Birthing friendly

Merit Health Madison

Acute Care Hospitals · Canton, MS

OwnershipProprietary

CMS Certification Number250038

Location161 River Oaks DriveCanton, MS 39046 · Madison County

Emergency services

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

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

Most-billed visit code 99214

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.

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)