Thomas Rayford Blackledge Jr., MD
Individual provider Active NPI Family Medicine Physician · Biloxi, MS
NPI 1497798615 · NPPES record last updated Jul 21, 2026
Key facts
- NPI
- 1497798615
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 14559 (MS)
- Practice address
- 147 Reynoir St Ste 201
Biloxi, MS 39530-4121 - Phone
- (228) 822-6788
- Fax
- (228) 822-6789
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 16
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Covington County Hospital
Practice addresses (Care Compare)
800 3Rd St SW
Magee, MS 39111-3951
Phone (601) 849-1918
Hospital & facility affiliations
- Centerwell Home Health
- Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson
- Covington County Hospital Cah
- Magee General Hospital
- Mississippi Baptist Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041214000572 | MS | Practitioner - Family Practice |
5597722249 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14559 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covington County Hospital | Current |
Accepting new patients | |
| Covington County Hospital | Current |
Accepting new patients | |
| Covington County Hospital | Current | Accepting new patients |
Locations
800 3rd St SW
Magee, MS 39111
Phone (601) 849-1918
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/covingc-3983785e
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14559 | MS | Yes |
Addresses
Primary practice location
147 Reynoir St Ste 201
Biloxi, MS 39530-4121
Mailing address
147 Reynoir St Ste 201
Biloxi, MS 39530-4121
Phone (228) 822-6788
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00115523 | Medicaid | MS |
Other providers in Biloxi, MS
- Bio-Medical Applications of Mississippi, Inc.
- Tiffany Robin Bird
- Penny Marie Bise
- Wade Bishop
- Bernd Klaus Bismark
- Tammy Demoria Blackmore
- Jessica Anne Blair
- Sonya Renee Blake
- Aubrey Amanda Blanchette
- Laura S. Blanks
All providers in Biloxi, MS · Family Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.