DAVAUL BLACKMON
NPI 1700771847
Nurse Practitioner - Acute Care in Montgomery, AL
About Davaul Blackmon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVAUL BLACKMON (NPI 1700771847) is an individual acute care provider in Montgomery, Alabama, licensed in Alabama (2025023280) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS, is affiliated with Phoebe Putney Memorial Hospital, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Davaul Blackmon 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.
Medicare Billing Reassignments
3Medicare enrollment records show Davaul Blackmon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Montgomery, AL 36111
- Reassigned Medicare billing, Alabama enrollment
- 439 clinicians in this Medicare group
Albany, GA 31707
- Reassigned Medicare billing, Georgia enrollment
- Medicare enrollment name: Phoebe Physician Group Inc
- 1,118 clinicians in this Medicare group
Coral Gables, FL 33134
- Reassigned Medicare billing, Florida enrollment
- 11 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Phoebe Putney Memorial Hospital
Acute Care Hospitals · Albany, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 36116 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MONTGOMERY, AL 36116
MONTGOMERY, AL 36116
MONTGOMERY, AL 36116
MONTGOMERY, AL 36116
MONTGOMERY, AL 36116
MONTGOMERY, AL 36116
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 Davaul Blackmon's NPI number?
The NPI number for Davaul Blackmon is 1700771847. It was assigned to this individual provider in the NPPES registry on June 10, 2025.
Where is Davaul Blackmon located?
Davaul Blackmon practices at 2105 E South Blvd, Montgomery, AL 36116. The listed phone number is (334) 747-2100.
What is Davaul Blackmon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Davaul Blackmon enrolled in Medicare?
Yes. Davaul Blackmon 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.
Which organizations bill Medicare for Davaul Blackmon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Davaul Blackmon reassigns Medicare benefits to 3 organizations: The Health Care Authority For Baptist Health, An Affiliate Of Uabhs (Montgomery, AL), Phoebe Gastroenterology Associates (Albany, GA) and Elemental Living Inc (Coral Gables, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Davaul Blackmon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Davaul Blackmon affiliated with any hospitals?
According to CMS data, Davaul Blackmon is affiliated with Phoebe Putney Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Davaul Blackmon was last updated on January 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Davaul Blackmon · NPI 1700771847
Acute Care physician in Montgomery, Alabama. Individual provider, active in the CMS NPPES registry since June 10, 2025.
## Identity
- **NPI:** 1700771847 (Entity type: Individual)
- **Enumerated:** June 10, 2025
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 2025023280 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 2105 E SOUTH BLVD, Montgomery, AL 36116-2409
- **Phone:** (334) 747-2100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): The Health Care Authority For Baptist Health, An Affiliate Of Uabhs (NPI 1952609505, Montgomery, AL); Phoebe Gastroenterology Associates (NPI 1659627131, Albany, GA); Elemental Living Inc (NPI 1205617404, Coral Gables, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** January 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1700771847) · Data from the CMS NPPES public registry.