1. Home
  2. Directory
  3. Mississippi
  4. Magee
  5. Family Medicine
  6. NPI Profile

MEDICAL CENTER OF MAGEE
NPI 1376861757
Family Medicine in Magee, MS

Active since May 11, 2010CLIA 25D1045992 · Microscopy
800 3RD ST SW, MAGEE, MS 39111(601) 849-1918(601) 849-1908 Get Directions Write a Review

NPPES record last updated: May 11, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Medical Center Of Magee NPPES

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

MEDICAL CENTER OF MAGEE (NPI 1376861757) is a healthcare organization registered as a family medicine in Magee, Mississippi and active in the NPI registry since May 2010. The organization holds a CLIA Microscopy certificate valid through September 26, 2027 and lists Thomas R. Blackledge, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1376861757
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTHOMAS R. BLACKLEDGE, JR., MD, PA
Location Address800 3RD ST SWMagee, MS 39111-3951
Mailing AddressPo Box 748Magee, MS 39111-0748 · (601) 849-1918 · Fax (601) 849-1908
Phone(601) 849-1918
Fax(601) 849-1908
Organization SubpartNo
Authorized OfficialThomas R. BlackledgeMd/owner · (601) 849-1918
Enumeration DateMay 11, 2010
✔ NPI 1376861757 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 · 14559
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.
800 3RD ST SW, Magee, MS 39111
Open in Google Maps ↗

Other Names 1

Other NameMedical Center Of Magee

Other Identifiers 3

Medicare PIN080003399MS
Medicare UPING15278MS
Medicaid00115523MS

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 25D1045992

Medical Center Of Magee, PLLC · Magee, MS
Active · expires Sep 26, 2027
CLIA Number25D1045992
Laboratory TypePhysician Office
Certificate Effective DateSeptember 27, 2025
Certificate Expiration DateSeptember 26, 2027
Laboratory DirectorDr. Thomas R. Blackledge
Laboratory Phone(601) 849-1918
Laboratory LocationMedical Center Of Magee, PLLC800 Third Street SW, Magee, MS 39111
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

COVINGTON COUNTY HOSPITAL
Clinic/Center (Rural Health)
800 3RD ST SW
MAGEE, MS 39111
Simpson County (601) 849-1918

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 Thomas R. Blackledge, Jr., MD, PA's NPI number?

The NPI number for Thomas R. Blackledge, Jr., MD, PA is 1376861757. It was assigned to this organization in the NPPES registry on May 11, 2010. The provider is also known as Medical Center Of Magee.

Where is Thomas R. Blackledge, Jr., MD, PA located?

Thomas R. Blackledge, Jr., MD, PA is located at 800 3rd St SW, Magee, MS 39111. The listed phone number is (601) 849-1918.

What is Thomas R. Blackledge, Jr., MD, PA's specialty?

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

Does Thomas R. Blackledge, Jr., MD, PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 25D1045992) is associated with this NPI, valid through September 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Thomas R. Blackledge, Jr., MD, PA was last updated on May 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.