Marvin Asbury Blanton III, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Union City, TN
NPI 1477528586 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1477528586
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- MD00005749 (TN)
- Practice address
- 1720 Realfoot Ave
Ste 104
Union City, TN 38261-6004 - Phone
- (731) 885-6662
- Fax
- (731) 885-6643
- NPI assigned
- Feb 22, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00005749 | TN | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Orthopedics & Sports Medicine, PLLC | Orthopaedic Surgery | Past |
Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/12482/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD00005749 | TN | Yes |
Addresses
Primary practice location
1720 Realfoot Ave
Ste 104
Union City, TN 38261-6004
Mailing address
1720 Realfoot Ave
Ste 104
Union City, TN 38261-6004
Phone (731) 885-6662
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3157432 | Medicaid | TN |
Other providers in Union City, TN
- Kennedy Basham Beal
- Bonnie Beale
- Deanna Beasley
- Alissa S Bennett
- Edna M Black
- James Dylan Bondurant
- Boyce Randall Leduke DDS
- Sara Brackeen
- Samuel W Bradberry
- Melinda Brooks
All providers in Union City, TN · Orthopaedic Surgery Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 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.