Active NPI
Thomas Rayford Blackledge Jr., MD
- Family Medicine Physician
- Biloxi, MS
National Provider Identifier
1497798615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 14559
- Practice address
- 147 Reynoir St Ste 201
Biloxi, MS 39530-4121 - Phone
- (228) 822-6788
- Fax
- (228) 822-6789
- NPI assigned
- Jun 14, 2006
- Last updated
- Sep 24, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14559 | MS | Primary |
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 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00115523 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 3Rd St SW
Magee, MS 39111-3951
Phone (601) 849-1918
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- 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
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Medical Center of Magee
- Rural Health Clinic/Center
- Magee, MS
- NPI 1750895611
-
dba Smith County EH Pro Fees
- Emergency Medical Services (Emergency Medicine) Physician
- Raleigh, MS
- NPI 1003654567
-
dba CCH Clinic Seminary
- Rural Health Clinic/Center
- Seminary, MS
- NPI 1134435498
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Collins, MS
- NPI 1215965249
-
dba CenterWell Home Health
- Home Health Agency
- Flowood, MS
- NPI 1417935578
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
-
dba Magee General Hospital
- General Acute Care Hospital
- Magee, MS
- NPI 1679553994
-
dba AccentCare Home Health of Jackson
- Home Health Agency
- Clinton, MS
- NPI 1356482749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790208000000",
"number": "1497798615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 REYNOIR ST STE 201",
"city": "BILOXI",
"state": "MS",
"postal_code": "395304121",
"telephone_number": "228-822-6788",
"fax_number": "228-822-6789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 REYNOIR ST STE 201",
"city": "BILOXI",
"state": "MS",
"postal_code": "395304121",
"telephone_number": "228-822-6788",
"fax_number": "228-822-6789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKLEDGE",
"first_name": "THOMAS",
"middle_name": "RAYFORD",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "14559",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00115523",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Biloxi, MS
- Bio-Medical Applications of Mississippi, Inc. (South Mississippi Kidney Center (SMKC) - Biloxi)
- Tiffany Robin Bird, PHARM D
- Penny Marie Bise, SLP
- Wade Bishop, DMD
- Bernd Klaus Bismark, DC
- Tammy Demoria Blackmore
- Jessica Anne Blair, PA-C
- Sonya Renee Blake, RN
- Aubrey Amanda Blanchette, PHYSICIAN ASSISTANT
- Laura S. Blanks, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.