npidexNPI registry + Medicare data

AMANDA BLACKWELL, MD

Emergency Medicine Physician · JACKSON, MS

Individual Active NPI 1104529551

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Emergency Medicine Physician207P00000X✓T-5140MS
Student in an Organized Health Care Education/Training Program390200000X—MS

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.