AMANDA BLACKWELL MD
NPI 1104529551
Emergency Medicine in Jackson, MS
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Amanda Blackwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 1,932 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MSMerit Health Madison
Acute Care Hospitals · Canton, MSPhysician 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.
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.
JACKSON, MS 39216
JACKSON, MS 39216
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 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.
Where is Amanda Blackwell located?
Amanda Blackwell practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (228) 218-0246.
What is Amanda Blackwell's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Amanda Blackwell enrolled in Medicare?
Yes. Amanda Blackwell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Amanda Blackwell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Blackwell reassigns Medicare benefits to State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Blackwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amanda Blackwell accept?
Health plans from Oscar Health Plan, Inc. list Amanda Blackwell 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.
Is Amanda Blackwell affiliated with any hospitals?
According to CMS data, Amanda Blackwell is affiliated with University Of Mississippi Med Center and Merit Health Madison.
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.
# Amanda Blackwell, MD · NPI 1104529551
Emergency Medicine physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since March 24, 2023.
## Identity
- **NPI:** 1104529551 (Entity type: Individual)
- **Enumerated:** March 24, 2023
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** T-5140 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 N STATE ST, Jackson, MS 39216-4500
- **Phone:** (228) 218-0246
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** State Of Mississippi - University Of Mississippi Medical Center (NPI 1154317527, Jackson, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Mississippi School Of Medicine, class of 2023
## Record status
- **NPPES last updated:** July 12, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1104529551) · Data from the CMS NPPES public registry.