Andrew James Blackburn, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

103258 Issued in NC

Practice address

509 Biltmore Ave
Memorial Mission Hospital
Asheville, NC 28801-4601

Phone

(828) 213-1111

NPI assigned

Aug 30, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Carolina Hand and Sports Medicine, PA

  • Hand Occupational Therapist
  • Asheville, NC
  • NPI 1235444399
  NPD (past)
• Carolina Mountain Emergency Medicine PA

  • Emergency Medicine Physician
  • Marion, NC
  • NPI 1427374578
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1598874471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 PEACHTREE RD STE 200",
            "address_2": "CAROLINA MOUNTAIN EMERGENCY MEDICINE, PA",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288033160",
            "telephone_number": "828-277-7772",
            "fax_number": "828-277-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 BILTMORE AVE",
            "address_2": "MEMORIAL MISSION HOSPITAL",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014601",
            "telephone_number": "828-213-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Black Bear Physical Therapy
• Benjamin Keith Black, D.D.S., M.S.
• Iris Delia Black, RN
• Jason Allen Black, PA-C
• Martin L Black, M.D.
• Meredith June Blackburn, PHD
• Robert Jackson Blackburn Jr., DMD
• Gabriella Catherine Blackmon, MSW/ PENDING LCSW-A
• Anna Renee Blackshear
• Shannon Leigh Brown Blackwood, OD

• Physician Assistant in Asheville, NC
• Providers in Asheville, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.