Harold Todd Blackmon, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-081439 Issued in AL

Practice address

2601 Village Professional Dr N
Opelika, AL 36801-4784

Phone

(334) 528-5400

Fax

(334) 528-5421

NPI assigned

May 20, 2020

Last updated

Aug 16, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Alabama Heart and Vascular, LLCGroup PAC ID 9638344708, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The East Alabama Healthcare Authority Hospital, Opelika, AL, CCN 010029

Merit-based Incentive Payment System (MIPS)

Final score

82.87 of 100Reported as group

Quality

64.65

Promoting interoperability

100

Improvement activities

40

Cost

78.24

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• East Alabama Heart and Vascular, LLC

  dba Pinnacle Cardiovascular Associates

  • Specialist
  • Opelika, AL
  • NPI 1104193069

  Single Specialty

  Medicare reassignment Care Compare group NPD
• East Alabama Heart and Vascular, LLC

  dba Heart and Lung Surgeons of East Alabama

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Opelika, AL
  • NPI 1073120119

  Single Specialty

  NPD

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

• The East Alabama Health Care Authority

  dba East Alabama Medical Center

  • General Acute Care Hospital
  • Opelika, AL
  • NPI 1154386431
  Care Compare affiliation

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1639792955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 VILLAGE PROFESSIONAL DR N",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368014784",
            "telephone_number": "334-528-5400",
            "fax_number": "334-528-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 VILLAGE PROFESSIONAL DR N",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368014784",
            "telephone_number": "334-528-5400",
            "fax_number": "334-528-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMON",
        "first_name": "HAROLD",
        "middle_name": "TODD",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-20",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-081439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Bethea
• Kerri Bevis, MD
• Jinghua Bian, NP-C
• Bio-Medical Applications of Alabama, Inc. (Fresenius Medical Care Opelika)
• Bio-Medical Applications of Alabama, Inc. (Fresenius Medical Care-Opelika)
• Jonathan Taylor Blackmon, DO
• Ashley Blair, CRNP
• Corey Blair, CRNA
• Mark M Blair, CRNA
• Elizabeth Ann Bloodgood, P.T.

• Family Nurse Practitioner in Opelika, AL
• Providers in Opelika, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.