NPIMap

Organization Active NPI

Eric Blakney

Doing business as Eric Blakney DBA Premier Internal Medicine, PC

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1063608966
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
30789 Issued in TN
Legal business name
ERIC BLAKNEY
Doing business as
Eric Blakney DBA Premier Internal Medicine, PC
Practice address
6005 Park Ave
Suite 323B
Memphis, TN 38119-5202
Phone
(901) 756-6991
Fax
(901) 756-6908
NPI assigned
Sep 24, 2007
Last updated
Apr 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Eric D. Blakney, M.D.
Title
Owner
Phone
(901) 756-6991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 30789 TN Primary

Addresses

Primary practice location

6005 Park Ave
Suite 323B
Memphis, TN 38119-5202

Mailing address

6005 Park Ave
Suite 323B
Memphis, TN 38119-5202
Phone (901) 756-6991

Other identifiers 1

IdentifierTypeStateIssuer
4108654OtherTNBLUECROSS BLUESHIELD

Other names 1

  • Eric Blakney DBA Premier Internal Medicine, PC Doing business as

National Provider Directory

National Provider Directory

Locations

6005 Park Ave
Ste 323B
Memphis, TN 38119
Phone (901) 756-6991

Practitioners & affiliated clinicians

Practitioners 58

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 58

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1063608966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "SUITE 323B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195202",
            "telephone_number": "901-756-6991",
            "fax_number": "901-756-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "SUITE 323B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195202",
            "telephone_number": "901-756-6991",
            "fax_number": "901-756-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC BLAKNEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "BLAKNEY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-756-6991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "30789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "4108654",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eric Blakney DBA Premier Internal Medicine, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.