KORY BLACKWELL
NPI 1255751525
Family Medicine in Hattiesburg, MS

Q: What is Kory Blackwell's NPI number?

The NPI number for Kory Blackwell is 1255751525. It was assigned to this individual provider in the NPPES registry on April 24, 2014.

Q: What is Kory Blackwell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kory Blackwell was last updated on January 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 24, 2014PECOS EnrolledAccepts Medicare Assignment

5192 OLD HIGHWAY 11 STE 2, HATTIESBURG, MS 39402(601) 268-0929(601) 261-0508 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2021, Feb 18, 2020, Jan 16, 2018 and 1 more (4 updates tracked since 2017).

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About Kory Blackwell NPPES

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

KORY BLACKWELL (NPI 1255751525) is an individual family medicine provider in Hattiesburg, Mississippi, licensed in Mississippi (24444) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Forrest General Hospital, and is a graduate of University Of Mississippi School Of Medicine (2014).

NPPES Registry Identity

NPI1255751525

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKORY BLACKWELL

Location Address5192 OLD HIGHWAY 11 STE 2Hattiesburg, MS 39402-6222

Mailing Address415 South 28th AvenueHattiesburg, MS 39401 · (601) 579-5463

Phone(601) 268-0929

Fax(601) 261-0508

Sole ProprietorNo

Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2014

Enumeration DateApril 24, 2014

Last NPPES UpdateJanuary 7, 20214 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2021

✔ NPI 1255751525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MS · 24444

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5192 OLD HIGHWAY 11 STE 2, Hattiesburg, MS 39402

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Other Identifiers 1

Medicaid08076764MS

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kory Blackwell 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.

PECOS PAC ID3173813748

PECOS Enrollment IDI20170731000990

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 12

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

268 services153 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

163 services106 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

148 services86 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

120 services120 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

91 services78 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

76 services15 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

51 services49 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

49 services48 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

34 services31 patients

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

24 services12 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

14 services14 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Forrest General Hospital

Acute Care Hospitals · Hattiesburg, MS

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number250078

Location6051 Us Highway 49 SouthHattiesburg, MS 39404 · Forrest County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39402 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers23 claims56 services$6.19 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers11 claims11 services$1.06 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MRS. KARA LYNNE BARHAM FNP-C

Nurse Practitioner (Family)

5192 OLD HIGHWAY 11 STE 2
HATTIESBURG, MS 39402

Lamar County (601) 268-0929

KATHERINE P ALEXIS MD

Family Medicine

5192 OLD HIGHWAY 11 STE 2
HATTIESBURG, MS 39402

Lamar County (601) 268-0929

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 Kory Blackwell's NPI number?

The NPI number for Kory Blackwell is 1255751525. It was assigned to this individual provider in the NPPES registry on April 24, 2014.

Where is Kory Blackwell located?

Kory Blackwell practices at 5192 Old Highway 11 Ste 2, Hattiesburg, MS 39402. The listed phone number is (601) 268-0929.

What is Kory Blackwell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kory Blackwell enrolled in Medicare?

Yes. Kory 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.

What insurance does Kory Blackwell accept?

Health plans from Molina Healthcare and UnitedHealthcare list Kory 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 Kory Blackwell affiliated with any hospitals?

According to CMS data, Kory Blackwell is affiliated with Forrest General Hospital.

When was this NPI record last updated?

The NPPES record for Kory Blackwell was last updated on January 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.