Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARK BLACKMON PA-C
NPI 1184359051
Physician Assistant - Surgical in Nashville, TN

Q: 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.

Q: What is Mark Blackmon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Mark Blackmon was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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 July 23, 2022PECOS Enrolled

1301 MEDICAL CENTER DR, NASHVILLE, TN 37232(615) 322-5000 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 3, 2026, Jul 23, 2022 (2 updates tracked since 2022).

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About Mark Blackmon Pa-c NPPES

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

MARK BLACKMON PA-C (NPI 1184359051) is an individual surgical provider in Nashville, Tennessee, licensed in Tennessee (5627) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Mcminnville.

NPPES Registry Identity

NPI1184359051

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMARK BLACKMONCredential: PA-C

Location Address1301 MEDICAL CENTER DRNashville, TN 37232-0028

Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · (615) 322-6842

Phone(615) 322-5000

Sole ProprietorNo

Enumeration DateJuly 23, 2022

Last NPPES UpdateSeptember 3, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2026

✔ NPI 1184359051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in TN · 5627

1301 MEDICAL CENTER DR, Nashville, TN 37232

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Secondary Practice Location 1

Location 11559 Sparta StMcMinnville, TN 37110-1316 · Phone (931) 815-4000

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 Pa-c 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

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.

MARK ANDREW KACHAN DPM

Podiatrist