Shanta Blakney
Individual provider Active NPI Contractor · Columbus, MS
NPI 1346192028 · NPPES record last updated Feb 13, 2026
Key facts
- NPI
- 1346192028
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 169 S McCrary Rd
Columbus, MS 39702-6319 - Phone
- (662) 630-5181
- NPI assigned
- Feb 13, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor |
171W00000X | MS | Yes |
Addresses
Primary practice location
169 S McCrary Rd
Columbus, MS 39702-6319
Mailing address
169 S McCrary Rd
Columbus, MS 39702-6319
Other providers in Columbus, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.