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JONATHAN TAYLOR BLACKMON DO
NPI 1679142335
Student in an Organized Health Care Education/Training Program in Opelika, AL

Active since June 17, 2021PECOS Enrolled
2000 PEPPERELL PKWY, OPELIKA, AL 36801(334) 528-3035(334) 528-1661 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jonathan Taylor Blackmon Do NPPES

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

JONATHAN TAYLOR BLACKMON DO (NPI 1679142335) is an individual student in an organized health care education/training program in Opelika, Alabama and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679142335
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJONATHAN TAYLOR BLACKMONCredential: DO
Location Address2000 PEPPERELL PKWYOpelika, AL 36801-5452
Mailing Address2000 Pepperell PkwyOpelika, AL 36801-5452 · (334) 528-3035 · Fax (334) 528-1661
Phone(334) 528-3035
Fax(334) 528-1661
Sole ProprietorNo
Enumeration DateJune 17, 2021
NPPES CertifiedJune 17, 2021
✔ NPI 1679142335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2000 PEPPERELL PKWY, Opelika, AL 36801
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Taylor Blackmon Do 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.

Other Providers at the Same Location NPPES 20

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

TAYLOR DAVID WACHS DO
Internal Medicine (Critical Care Medicine)
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Lee County (334) 749-3411
MAXIMILIAN SUNGHO CHOO
Student in an Organized Health Care Education/Training Program
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Lee County (334) 364-3300
DR. CASEY ESTELLE SPEARS PHARMD
Pharmacist
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Lee County (334) 749-3411
NGUYEN LAM DO
Student in an Organized Health Care Education/Training Program
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Lee County (334) 364-3300
DAVID ALLEN POWELL CAA
Anesthesiologist Assistant
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Lee County (334) 528-2499
ARSH PATEL DO
Internal Medicine
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Lee County (334) 528-3035
JAMIE TREHERN RN
Registered Nurse (Obstetric, Inpatient)
2000 PEPPERELL PKWY, 3RD FLOOR/ MOTHER BABY
OPELIKA, AL 36801
Lee County (334) 528-3710
MACKENZIE WINTER WATERS PHARM.D.
Pharmacist
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Lee County (334) 528-2474

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 Jonathan Blackmon's NPI number?

The NPI number for Jonathan Blackmon is 1679142335. It was assigned to this individual provider in the NPPES registry on June 17, 2021.

Where is Jonathan Blackmon located?

Jonathan Blackmon practices at 2000 Pepperell Pkwy, Opelika, AL 36801. The listed phone number is (334) 528-3035.

What is Jonathan Blackmon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jonathan Blackmon enrolled in Medicare?

Yes. Jonathan Blackmon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Blackmon was last updated on June 17, 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.