1. Home
  2. Directory
  3. North Carolina
  4. Fremont
  5. Family Medicine
  6. NPI Profile

JESSE A BLACKMAN, MD, PA
NPI 1407887862
Family Medicine in Fremont, NC

Active since July 05, 2006
109 S. SYCAMORE STREET, FREMONT, NC 27830(919) 242-5550(919) 242-6428 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jesse A Blackman, Md, Pa NPPES

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

JESSE A BLACKMAN, MD, PA (NPI 1407887862) is a healthcare organization registered as a family medicine in Fremont, North Carolina and active in the NPI registry since July 2006. The organization lists Jesse A Blackman, President, as its authorized official.

NPPES Registry Identity

NPI1407887862
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJESSE A BLACKMAN, MD, PA
Location Address109 S. SYCAMORE STREETFremont, NC 27830
Mailing Address109 S. Sycamore Street, P O Box 878Fremont, NC 27830 · (919) 242-5550 · Fax (919) 242-6428
Phone(919) 242-5550
Fax(919) 242-6428
Organization SubpartNo
Authorized OfficialJesse A BlackmanPresident · (919) 242-5550
Enumeration DateJuly 5, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1407887862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 18609
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.
109 S. SYCAMORE STREET, Fremont, NC 27830
Open in Google Maps ↗

Other Identifiers 1

Medicaid8916000NC

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

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 Jesse A Blackman, MD, PA's NPI number?

The NPI number for Jesse A Blackman, MD, PA is 1407887862. It was assigned to this organization in the NPPES registry on July 5, 2006.

Where is Jesse A Blackman, MD, PA located?

Jesse A Blackman, MD, PA is located at 109 S. Sycamore Street, Fremont, NC 27830. The listed phone number is (919) 242-5550.

What is Jesse A Blackman, MD, PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Jesse A Blackman, MD, PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.