Organization Active NPI

Blackwell Family Foot Care

  • Podiatrist
  • Jackson, MS
National Provider Identifier
1669077038
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
BLACKWELL FAMILY FOOT CARE
Practice address
1815 Hospital Dr Ste 301
Jackson, MS 39204-3425
Phone
(601) 449-0192
Fax
(601) 449-0194
NPI assigned
Dec 2, 2020
Organization subpart
No

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

Authorized official

Name
Dr. Ashley Dawn Blackwell, DPMNPI 1578884466
Title
Provider
Phone
(601) 449-0192

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210202000562 MS Part B Supplier - Clinic/Group Practice 9931513041 Receives reassigned benefits from 1 practitioner
Practice locations: Jackson, MS

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767916800000",
    "number": "1669077038",
    "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": {
        "organization_name": "BLACKWELL FAMILY FOOT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "601-449-0192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.