Individual provider Active NPI

Ashley Dawn Blackwell, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Jackson, MS
National Provider Identifier
1578884466
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
80214 Issued in MS
Practice address
1815 Hospital Dr Ste 301
Jackson, MS 39204-3425
Phone
(601) 449-0192
Fax
(601) 449-0194
NPI assigned
Jun 15, 2010
Last updated
Jan 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 80214 MS Primary

Addresses

Primary practice location

1815 Hospital Dr Ste 301
Jackson, MS 39204-3425

Mailing address

1815 Hospital Dr Ste 301
Jackson, MS 39204-3425
Phone (601) 449-0192

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131015001202 MS Practitioner - Podiatry 1052545654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1815 Hospital Dr
Suite 301
Jackson, MS 39204-3425
Phone (601) 449-0192

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blackwell Family Foot Care CurrentSince Mar 1, 2021 Accepting new patients

Locations

1815 Hospital Dr
Ste 301
Jackson, MS 39204
Phone (601) 449-0192

Interoperability endpoints

  • Direct secure messaging: ashley.blackwell.1@9847.direct.athenahealth.com
  • Direct secure messaging: drashleyblackwell@blackwellfamilyfootcare.kareodirect.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1578884466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 HOSPITAL DR STE 301",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043425",
            "telephone_number": "601-449-0192",
            "fax_number": "601-449-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 HOSPITAL DR STE 301",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043425",
            "telephone_number": "601-449-0192",
            "fax_number": "601-449-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "ASHLEY",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-15",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MS",
            "license": "80214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.