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THOMAS HAROLD BLACKWELL MD
NPI 1770508020
Emergency Medicine in Simpsonville, SC

Active since July 13, 2006PECOS Enrolled
300 SCUFFLETOWN RD, SIMPSONVILLE, SC 29681(864) 329-0029 Get Directions Write a Review

NPPES record last updated: March 3, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Thomas Harold Blackwell Md NPPES

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

THOMAS HAROLD BLACKWELL MD (NPI 1770508020) is an individual emergency medicine provider in Simpsonville, South Carolina, licensed in South Carolina (34991) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770508020
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTHOMAS HAROLD BLACKWELLCredential: MD
Location Address300 SCUFFLETOWN RDSimpsonville, SC 29681-7204
Mailing Address1 Independence Pt, Suite 212Greenville, SC 29615-4545 · (864) 797-6044
Phone(864) 329-0029
Sole ProprietorNo
Enumeration DateJuly 13, 2006
Last NPPES UpdateMarch 3, 2014
✔ NPI 1770508020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in SC · 34991✔ Licensed in NC · 35587
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License 35587 (NC)
300 SCUFFLETOWN RD, Simpsonville, SC 29681
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Other Identifiers 9

Medicare PIN2179980CNC
Medicare PINAA90917951SC
Medicare PINP00410574NC
Medicare PIN930076428NC
Medicaid8916021NC
Other16021NC · Ncbcbs
Medicare UPINF06370NC
Medicare PIN2179980NC
MedicaidN35587SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas Harold Blackwell Md 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Thomas Blackwell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prisma Health-Upstate
5.5 mi
Sleep Disorder Diagnostic
1025 VERDAE BLVD, SUITE D
Greenville, SC 29607
  • Reassigned Medicare billing, South Carolina enrollment
  • 413 clinicians in this Medicare group
NPI 1275086431 (864) 455-7743
Greenville Health System
6.5 mi
General Acute Care Hospital
200 PATEWOOD DR, SUITE C 300
Greenville, SC 29615
  • Reassigned Medicare billing, South Carolina enrollment
  • 735 clinicians in this Medicare group
NPI 1184049041 (864) 454-8272
Emergency Coverage, LLC
96 mi
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, North Carolina enrollment
  • 557 clinicians in this Medicare group
NPI 1427005008 (423) 625-2200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29681 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JAMES MARION TAYLOR II D.O.
Family Medicine
300 SCUFFLETOWN RD
SIMPSONVILLE, SC 29681
Greenville County (864) 329-0029
KATELYN ELIZABETH BURN PT
Physical Therapist
300 SCUFFLETOWN RD
SIMPSONVILLE, SC 29681
Greenville County (864) 329-8110
ERIKA HANDLEY FNP
Nurse Practitioner (Family)
300 SCUFFLETOWN RD
SIMPSONVILLE, SC 29681
Greenville County (864) 329-0029
KARLA BURTON NP
Nurse Practitioner
300 SCUFFLETOWN RD
SIMPSONVILLE, SC 29681
Greenville County (864) 522-1550
JESSICA ANNE MASOCOL M.D.
Family Medicine
300 SCUFFLETOWN RD
SIMPSONVILLE, SC 29681
Greenville County (864) 329-0029
TIMOTHY CALEB HARGROVE D.O.
Family Medicine
300 SCUFFLETOWN RD
SIMPSONVILLE, SC 29681
Greenville County (864) 329-0029
ELIZABETH W ERICKSEN PT
Physical Therapist
300 SCUFFLETOWN RD
SIMPSONVILLE, SC 29681
Greenville County (864) 329-8110
RACHEL BUITER HANSEN MD
Family Medicine
300 SCUFFLETOWN RD
SIMPSONVILLE, SC 29681
Greenville County (864) 329-0029

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 Blackwell's NPI number?

The NPI number for Thomas Blackwell is 1770508020. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Thomas Blackwell located?

Thomas Blackwell practices at 300 Scuffletown Rd, Simpsonville, SC 29681. The listed phone number is (864) 329-0029.

What is Thomas Blackwell's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Thomas Blackwell enrolled in Medicare?

Yes. Thomas Blackwell is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Thomas Blackwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Blackwell reassigns Medicare benefits to 3 organizations: Prisma Health-Upstate (Greenville, SC), Greenville Health System (Greenville, SC) and Emergency Coverage, LLC (Newport, TN). 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 Thomas Blackwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Thomas Blackwell was last updated on March 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.