NPIMap

Individual provider Active NPI

Philip J Blount, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Jackson, MS
National Provider Identifier
1831136175
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
18478 Issued in MS
Practice address
1410 E Woodrow Wilson Ave
Jackson, MS 39216-5114
Phone
(601) 936-8801
Fax
(601) 936-8808
NPI assigned
Jun 2, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 18478 MS Primary

Addresses

Primary practice location

1410 E Woodrow Wilson Ave
Jackson, MS 39216-5114

Mailing address

1350 East Woodrow Wilson Dr.
Methodist Rehabilitation Center
Jackson, MS 39216
Phone (601) 936-8801

Other identifiers 3

IdentifierTypeStateIssuer
P00601559OtherMSRRCARE PTAN
302I257039OtherMSPTAN
2154523MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040920000631 MS Practitioner - Physical Medicine and RehabilitationPractitioner - Orthopedic Surgery 7911975776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Mississippi School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Layfair Dr
Suite 100
Flowood, MS 39232-9717
Phone (601) 936-8801

1350 E Woodrow Wilson
Jackson, MS 39216-5112

1350 E Woodrow Wilson Ave
Jackson, MS 39216-5112
Phone (601) 981-2611

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi Methodist Hospital & Rehabilitation Center, Inc. CurrentSince Jan 13, 2014 Accepting new patients
Mississippi Methodist Hospital & Rehabilitation Center, Inc. Physical Medicine & Rehabilitation CurrentSince Jan 13, 2014 Accepting new patients
Ms Methodist Hospital & Rehabilitation Center Past Accepting new patients
University Radiation Oncology Consultants, PLLC Past Accepting new patients
University Orthopedic Associates, PLLC Past Accepting new patients

Locations

1350 E Woodrow Wilson Ave
Jackson, MS 39216
Phone (601) 364-5340

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1831136175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 EAST WOODROW WILSON DR.",
            "address_2": "METHODIST REHABILITATION CENTER",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39216",
            "telephone_number": "601-936-8801",
            "fax_number": "601-936-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 E WOODROW WILSON AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165114",
            "telephone_number": "601-936-8801",
            "fax_number": "601-936-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOUNT",
        "first_name": "PHILIP",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MS",
            "license": "18478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRCARE PTAN",
            "identifier": "P00601559",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "302I257039",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2154523",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.