Active NPI
Jesse Aycock Blackman, M.D.
- Family Medicine Physician
- Pikeville, NC
National Provider Identifier
1811936826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 18609
- Practice address
- 5413 US Highway 117 N
Pikeville, NC 27863-9445 - Phone
- (919) 242-5271
- Fax
- (919) 242-5096
- NPI assigned
- Jun 5, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 18609 | NC | Primary |
Addresses
Primary practice location
5413 US Highway 117 N
Pikeville, NC 27863-9445
Mailing address
5413 US Highway 117 N
Pikeville, NC 27863-9445
Phone (919) 242-5271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18609 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Medical Associates, PA | Past | Accepting new patients | |
| Eastern Medical Associates, PA | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Physician
- Goldsboro, NC
- NPI 1194762807
-
- Family Medicine Physician
- Pikeville, NC
- NPI 1922045673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1811936826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5413 US HIGHWAY 117 N",
"city": "PIKEVILLE",
"state": "NC",
"postal_code": "278639445",
"telephone_number": "919-242-5271",
"fax_number": "919-242-5096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5413 US HIGHWAY 117 N",
"city": "PIKEVILLE",
"state": "NC",
"postal_code": "278639445",
"telephone_number": "919-242-5271",
"fax_number": "919-242-5096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKMAN",
"first_name": "JESSE",
"middle_name": "AYCOCK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "18609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pikeville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.