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MARK BLACKMON
NPI 1184359051
Physician Assistant in Mcminnville, TN

Active since July 23, 2022PECOS Enrolled
1559 SPARTA ST, MCMINNVILLE, TN 37110(931) 815-4000 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Blackmon NPPES

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

MARK BLACKMON (NPI 1184359051) is an individual physician assistant in Mcminnville, Tennessee, licensed in Tennessee (5627) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184359051
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMARK BLACKMON
Location Address1559 SPARTA STMcminnville, TN 37110-1316
Mailing AddressPo Box 337Lafayette, TN 37083-0337
Phone(931) 815-4000
Sole ProprietorNo
Enumeration DateJuly 23, 2022
Last NPPES UpdateSeptember 11, 2023
NPPES CertifiedSeptember 11, 2023
✔ NPI 1184359051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TN · 5627
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1559 SPARTA ST, Mcminnville, TN 37110
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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)

Mark Blackmon 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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
104 services103 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
71 services70 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
56 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37110 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

CHLOE OLIVIA NAGI
Student in an Organized Health Care Education/Training Program
1559 SPARTA ST
MCMINNVILLE, TN 37110
Warren County (931) 815-4000
KEITH PHILLIP WEBB MD
Internal Medicine
1559 SPARTA ST
MCMINNVILLE, TN 37110
Warren County (615) 396-5822
MISS VANDANA BOTTA
Internal Medicine
1559 SPARTA ST
MCMINNVILLE, TN 37110
Warren County (931) 815-4000
LINDSEY DAWN BURTON MD
Emergency Medicine
1559 SPARTA ST
MCMINNVILLE, TN 37110
Warren County (931) 815-4000
KATHLEEN HSIE
Internal Medicine
1559 SPARTA ST
MCMINNVILLE, TN 37110
Warren County (615) 396-5822
NICHOLAS SCOTT ERHARD CRNA
Nurse Anesthetist, Certified Registered
1559 SPARTA ST
MCMINNVILLE, TN 37110
Warren County (931) 815-4000
KENNETH L HOLBERT MD
Emergency Medicine
1559 SPARTA ST
MC MINNVILLE, TN 37110
Warren County (931) 815-4000
HALEY SMITH
Emergency Medicine
1559 SPARTA ST
MCMINNVILLE, TN 37110
Warren County (931) 815-4000

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 Mark Blackmon's NPI number?

The NPI number for Mark Blackmon is 1184359051. It was assigned to this individual provider in the NPPES registry on July 23, 2022.

Where is Mark Blackmon located?

Mark Blackmon practices at 1559 Sparta St, Mcminnville, TN 37110. The listed phone number is (931) 815-4000.

What is Mark Blackmon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mark Blackmon enrolled in Medicare?

Yes. Mark Blackmon is registered in the Medicare PECOS enrollment system.

What insurance does Mark Blackmon accept?

Health plans from Oscar Insurance Company list Mark Blackmon 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 Mark Blackmon was last updated on September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.