DR. MAGGIE BLACKBURN MAGGIE BLACKBURN MD
NPI 1265595524
General Practice in Tallahassee, FL

Active since December 18, 2006PECOS Enrolled
3410 REMINGTON RUN, TALLAHASSEE, FL 32312(850) 644-2373 Get Directions Write a Review

NPPES record last updated: February 4, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Maggie Blackburn Maggie Blackburn Md NPPES

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

DR. MAGGIE BLACKBURN MAGGIE BLACKBURN MD (NPI 1265595524) is an individual general practice provider in Tallahassee, Florida, licensed in Florida (ME99422) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265595524
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. MAGGIE BLACKBURNCredential: MAGGIE BLACKBURN MD
Location Address3410 REMINGTON RUNTallahassee, FL 32312-1473
Mailing Address3410 Remington RunTallahassee, FL 32312-1473
Sole ProprietorYes
Enumeration DateDecember 18, 2006
Last NPPES UpdateFebruary 4, 2016
NPI 1265595524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in FL · ME99422
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedFamily MedicineTaxonomy 207Q00000X · License 190386 (NY)
3410 REMINGTON RUN, Tallahassee, FL 32312

Other Identifiers 3

Medicare UPINF5K602NY
Medicaid01498484NY
Medicare ID-Type Unspecified05K601NY

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. Maggie Blackburn Maggie Blackburn Md 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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265595524, enumerated as an "individual" on December 18, 2006.

The provider is located at 3410 REMINGTON RUN TALLAHASSEE, FL 32312 and the phone number is (850) 644-2373.

General Practice with taxonomy code 208D00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.