Richard E Blackburn, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME61205 Issued in FL

Practice address

2868 Mahan Dr
Suite 5
Tallahassee, FL 32308-5468

Phone

(850) 942-7177

Fax

(850) 656-9443

NPI assigned

Sep 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Neurology

Education

Indiana University School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tallahassee Neurology Associates PAGroup PAC ID 7214902725, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Tallahassee, FL, CCN 107151
• HCA Florida Capital Hospital Hospital, Tallahassee, FL, CCN 100254
• Tallahassee Memorial Healthcare Hospital, Tallahassee, FL, CCN 100135

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Tallahassee Neurology Associates, P.a.

  • Neurology Physician
  • Tallahassee, FL
  • NPI 1013013929
  Medicare reassignment Care Compare group NPD
• Tallahassee Orthopedic Clinic III PL

  dba Tallahassee Orthopedic Clinic

  • Medical Specialty Clinic/Center
  • Tallahassee, FL
  • NPI 1194778050
  NPD (past)

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

• Amedisys Florida, LLC

  dba Amedisys Home Health

  • Home Health Agency
  • Tallahassee, FL
  • NPI 1629129937
  Care Compare affiliation
• Tallahassee Medical Center Inc

  dba HCA Florida Capital Hospital

  • General Acute Care Hospital
  • Tallahassee, FL
  • NPI 1790732303
  Care Compare affiliation
• Tallahassee Memorial Healthcare Inc

  • General Acute Care Hospital
  • Tallahassee, FL
  • NPI 1437177664
  Care Compare affiliation

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281916800000",
    "number": "1558467431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2868 MAHAN DR",
            "address_2": "SUITE 5",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085468",
            "telephone_number": "850-942-7177",
            "fax_number": "850-656-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2868 MAHAN DR",
            "address_2": "SUITE 5",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085468",
            "telephone_number": "850-942-7177",
            "fax_number": "850-656-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "RICHARD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2010-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME61205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herman Black
• Jamison Black
• Michael Edward Black
• Johnnie Blackburn
• Maggie Blackburn, MAGGIE BLACKBURN MD
• Sarah Elizabeth Blackburn
• Tricia Blackburn
• Jadae A Blackmon
• Jimmie M Blackmon
• John A Blackmon, M.D.

• Neurology Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.

Verify at the official NPI Registry.