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BLAVO MEDICAL GROUP
NPI 1184575532
Internal Medicine - Endocrinology, Diabetes & Metabolism in Corinth, MS

Active since February 03, 2026
3198 HIGHWAY 72 W, CORINTH, MS 38834(662) 212-5551(833) 468-1518 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 29, 2026, May 6, 2026, Feb 3, 2026 (3 updates tracked since 2026).

About Blavo Medical Group NPPES

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

BLAVO MEDICAL GROUP (NPI 1184575532) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Corinth, Mississippi and active in the NPI registry since February 2026. The organization lists Delali Ohui Blavo, Owner, as its authorized official.

NPPES Registry Identity

NPI1184575532
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameBLAVO MEDICAL GROUP
Location Address3198 HIGHWAY 72 WCorinth, MS 38834-9303
Mailing Address3198 Highway 72 WCorinth, MS 38834-9303 · (662) 212-5551 · Fax (833) 468-1518
Phone(662) 212-5551
Fax(833) 468-1518
Organization SubpartNo
Authorized OfficialDelali Ohui BlavoOwner · (678) 772-8803
Enumeration DateFebruary 3, 2026
Last NPPES UpdateMay 29, 20263 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1184575532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
3198 HIGHWAY 72 W, Corinth, MS 38834
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blavo Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Blavo Medical Group, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Mackensley Gray, FNP
Nurse Practitioner
NPI 1104668797
145 ANA DR
Florence, AL 35630
(256) 284-7280
✔ PECOS✔ Accepts Medicare53 mi
Delali Blavo, DO
Endocrinology
NPI 1538430244
401 SOUTHCREST CIR STE 202
Southaven, MS 38671
(901) 763-3636
✔ PECOS✔ Accepts Medicare82 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Blavo Medical Group's NPI number?

The NPI number for Blavo Medical Group is 1184575532. It was assigned to this organization in the NPPES registry on February 3, 2026.

Where is Blavo Medical Group located?

Blavo Medical Group is located at 3198 Highway 72 W, Corinth, MS 38834. The listed phone number is (662) 212-5551.

What is Blavo Medical Group's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Blavo Medical Group enrolled in Medicare?

Yes. Blavo Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blavo Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Blavo Medical Group, in Endocrinology and Nurse Practitioner. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Blavo Medical Group accept?

Health plans from Molina Healthcare list Blavo Medical Group 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 Blavo Medical Group was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.