Individual provider Active NPI

Jeana Era-Ellen Blalock, MD

  • Family Medicine Physician
  • Madison, AL
National Provider Identifier
1730524414
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33988 Issued in AL
Practice address
209A Mission St
Madison, AL 35756-4932
Phone
(205) 538-2454
Fax
(256) 870-5452
NPI assigned
May 7, 2013
Last updated
Jul 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 33988 AL Primary

Addresses

Primary practice location

209A Mission St
Madison, AL 35756-4932

Mailing address

209A Mission St
Madison, AL 35756-4932
Phone (205) 538-2454

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151210002203 AL Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 3476854712 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC Family Medicine CurrentSince Nov 30, 2015 Accepting new patients
American Family Care, LLC CurrentSince Nov 30, 2015 Accepting new patients
AIDS Action Coalition of Huntsville CurrentSince Jan 1, 2022 Accepting new patients
AIDS Action Coalition of Huntsville CurrentSince Jan 1, 2022 Accepting new patients

Locations

3007 Memorial Pkwy SW
Ste C
Huntsville, AL 35801
Phone (256) 382-3344

3500 Memorial Pkwy SW
Huntsville, AL 35801
Phone (256) 213-1800

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

Organizations & group practices 4

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": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1730524414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209A MISSION ST",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357564932",
            "telephone_number": "205-538-2454",
            "fax_number": "256-870-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209A MISSION ST",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357564932",
            "telephone_number": "205-538-2454",
            "fax_number": "256-870-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLALOCK",
        "first_name": "JEANA",
        "middle_name": "ERA-ELLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-07",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "33988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.