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DR. CALEB BLACKBURN DDS, MD
NPI 1215433685
Oral & Maxillofacial Surgery in Knoxville, TN

Active since April 03, 2018PECOS Enrolled
1930 ALCOA HWY STE 335, KNOXVILLE, TN 37920(865) 305-9000 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2026, Apr 1, 2025, Feb 14, 2025 and 4 more (7 updates tracked since 2020).

About Dr. Caleb Blackburn Dds, Md NPPES

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

DR. CALEB BLACKBURN DDS, MD (NPI 1215433685) is an individual oral & maxillofacial surgery provider in Knoxville, Tennessee, licensed in Tennessee (73026) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1215433685
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. CALEB BLACKBURNCredential: DDS, MD
Location Address1930 ALCOA HWY STE 335Knoxville, TN 37920-1585
Mailing Address1930 Alcoa Hwy Ste 335Knoxville, TN 37920-1585 · (865) 305-9022
Phone(865) 305-9000
Sole ProprietorYes
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2023
Enumeration DateApril 3, 2018
Last NPPES UpdateApril 13, 20267 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1215433685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Licenses✔ Licensed in TN · 73026✔ Licensed in NC · 202500269
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 11013 (SC)
1930 ALCOA HWY STE 335, Knoxville, TN 37920
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Secondary Practice Locations 2

Location 1280 Rocky Slope RdGreenville, SC 29607-3908 · Phone (864) 751-9972
Location 28840 Blakeney Professional DrCharlotte, NC 28277-6718 · Phone (704) 716-9840

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.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)

Dr. Caleb Blackburn Dds, Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133457336
PECOS Enrollment IDI20260611003496
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.

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340053
Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County
Emergency services Birthing friendly

Atrium Health University City

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340166
Location8800 North Tyron StreetCharlotte, NC 28262 · Mecklenburg County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL WINSTEAD DMD,MD
Oral & Maxillofacial Surgery
1930 ALCOA HWY STE 335
KNOXVILLE, TN 37920
Knox County (865) 305-9022
TENNESSEE MAXILLOFACIAL SURGERY, PLLC
Oral & Maxillofacial Surgery
1930 ALCOA HWY STE 335
KNOXVILLE, TN 37920
Knox County (865) 305-9022

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 Caleb Blackburn's NPI number?

The NPI number for Caleb Blackburn is 1215433685. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Where is Caleb Blackburn located?

Caleb Blackburn practices at 1930 Alcoa Hwy Ste 335, Knoxville, TN 37920. The listed phone number is (865) 305-9000.

What is Caleb Blackburn's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Caleb Blackburn enrolled in Medicare?

Yes. Caleb Blackburn is registered in the Medicare PECOS enrollment system.

What insurance does Caleb Blackburn accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Caleb Blackburn 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 Caleb Blackburn affiliated with any hospitals?

According to CMS data, Caleb Blackburn is affiliated with Novant Health Presbyterian Medical Center and Atrium Health University City.

When was this NPI record last updated?

The NPPES record for Caleb Blackburn was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.