DR SUMPTER D BLACKMON PA
NPI 1720153539
Clinic/Center in Camden, AL

Active since November 21, 2006
321 WHISKEY RUN RD, CAMDEN, AL 36726(334) 682-4128(334) 682-9151 Get Directions Write a Review

NPPES record last updated: February 2, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr Sumpter D Blackmon Pa NPPES

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

DR SUMPTER D BLACKMON PA (NPI 1720153539) is a healthcare organization registered as a clinic/center in Camden, Alabama and active in the NPI registry since November 2006. The organization lists Sumpter Dudley Blackmon, President, as its authorized official.

NPPES Registry Identity

NPI1720153539
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDR SUMPTER D BLACKMON PA
Location Address321 WHISKEY RUN RDCamden, AL 36726-2303
Mailing AddressPo Box 699Camden, AL 36726-0699 · (334) 682-4128 · Fax (334) 682-9151
Fax(334) 682-9151
Organization SubpartNo
Authorized OfficialSumpter Dudley BlackmonPresident · (334) 682-4128
Enumeration DateNovember 21, 2006
Last NPPES UpdateFebruary 2, 2010
NPI 1720153539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in AL · 5754
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
321 WHISKEY RUN RD, Camden, AL 36726

Other Identifiers 3

Medicare ID-Type Unspecified000000454AL
Medicaid000000454AL
Medicare UPINC71994AL

Other Providers at the Same Location NPPES 4

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

Clinic/Center (Primary Care)
321 WHISKEY RUN RD
CAMDEN, AL 36726
Social Worker (Clinical)
321 WHISKEY RUN RD
CAMDEN, AL 36726
Family Medicine
321 WHISKEY RUN RD
CAMDEN, AL 36726
Family Medicine
321 WHISKEY RUN RD
CAMDEN, AL 36726

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 Dr Sumpter D Blackmon PA's NPI number?

The NPI number for Dr Sumpter D Blackmon PA is 1720153539. It was assigned to this organization in the NPPES registry on November 21, 2006.

Where is Dr Sumpter D Blackmon PA located?

Dr Sumpter D Blackmon PA is located at 321 Whiskey Run Rd, Camden, AL 36726. The listed phone number is (334) 682-4128.

What is Dr Sumpter D Blackmon PA's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Dr Sumpter D Blackmon PA was last updated on February 2, 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.