Individual provider Active NPI

James Waid Blackstone, M.D.

  • Ophthalmology Physician
  • Sylacauga, AL
National Provider Identifier
1477523090
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
24790 Issued in AL
Practice address
209 W Spring St Ste 302
Sylacauga, AL 35150-2976
Phone
(205) 723-0081
Fax
(250) 723-0837
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 24790 AL Primary

Addresses

Primary practice location

209 W Spring St Ste 302
Sylacauga, AL 35150-2976

Mailing address

209 W Spring St Ste 302
Sylacauga, AL 35150-2976
Phone (205) 723-0081

Other identifiers 4

IdentifierTypeStateIssuer
051001264OtherALBLUE CROSS BLUE SHIELD AL
7541689OtherALAETNA
202682193OtherALTRICARE
009932211MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050518000518 AL Practitioner - Ophthalmology 0244271435 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Alabama School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TVPG LLCGroup PAC ID 0143762112, 24 clinicians

Practice addresses (Care Compare)

2010 Patton Chapel Rd
Suite 101
Hoover, AL 35216-5783
Phone (833) 733-8742

Hospital & facility affiliations

  • Coosa Valley Medical Center Hospital, Sylacauga, AL, CCN 010164
  • St Vincent'S St Clair Hospital, Pell City, AL, CCN 010130
  • Citizens Baptist Medical Center Hospital, Talladega, AL, CCN 010101
  • Russell Medical Center Hospital, Alexander City, AL, CCN 010065

Merit-based Incentive Payment System (MIPS)

Final score
84.74 of 100Reported as group
Quality
79.85
Promoting interoperability
98
Improvement activities
40
Cost
70.94

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24790ALMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roswell R. Pfister MD PC Ophthalmology CurrentSince Jul 1, 2024 Accepting new patients
TVPG LLC Ophthalmology CurrentSince Jul 1, 2024 Accepting new patients
University of Alabama Ophthalmology Services Foundation Ophthalmology CurrentSince Mar 1, 2015 Accepting new patients
Colonnade Surgical Partners, LLC Ophthalmology CurrentSince Jul 9, 2025 Accepting new patients
University of Alabama at Birmingham Past Accepting new patients

Locations

1120 Airport Dr
Ste 104
Alexander City, AL 35010
Phone (256) 329-8400

2910 Morgan Rd
Ste 100
Bessemer, AL 35022
Phone (205) 403-2020

700 18th St S
Ste 601
Birmingham, AL 35233
Phone (205) 325-8507

1720 University Blvd
Ste 200
Birmingham, AL 35233
Phone (205) 876-8988

3980 Colonnade Pkwy
Ste 100
Birmingham, AL 35243
Phone (205) 876-8967

3980 Colonnade Pkwy
Ste 101
Birmingham, AL 35243

210 Fieldstown Rd
Ste 122
Gardendale, AL 35071

2010 Patton Chapel Rd
Ste 101
Hoover, AL 35216
Phone (205) 822-0233

74 Plaza Dr
Ste 203
Pell City, AL 35125

7067 Veterans Pkwy
Ste 240
Pell City, AL 35125
Phone (205) 325-8596

209 W Spring St
Ste 302
Sylacauga, AL 35150
Phone (205) 325-8596

210 W Spring St
Sylacauga, AL 35150
Phone (256) 245-5203

109 Coosa St E
Ste A
Talladega, AL 35160
Phone (256) 362-4872

1960 Gadsden Hwy
Ste 120
Trussville, AL 35235
Phone (205) 655-1114

2198 Columbiana Rd
Ste 200
Vestavia Hills, AL 35216
Phone (205) 876-8988

Interoperability endpoints

  • Direct secure messaging: wblackstone@triavision.intellechartdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1477523090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W SPRING ST STE 302",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502976",
            "telephone_number": "205-723-0081",
            "fax_number": "205-723-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W SPRING ST STE 302",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502976",
            "telephone_number": "205-723-0081",
            "fax_number": "250-723-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKSTONE",
        "first_name": "JAMES",
        "middle_name": "WAID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "24790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD AL",
            "identifier": "051001264",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7541689",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "202682193",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009932211",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylacauga, AL

Sources for this page

Verify at the official NPI Registry.