Tracy Blackmon-Paylor

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

C100052 Issued in NC

Practice address

732 Dalmore Dr
Fayetteville, NC 28311-1133

Phone

(910) 494-4968

NPI assigned

May 2, 2016

Last updated

May 10, 2016By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1902251556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N REILLY RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283032574",
            "telephone_number": "910-494-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 DALMORE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283111133",
            "telephone_number": "910-494-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMON-PAYLOR",
        "first_name": "TRACY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "NC",
            "license": "C100052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Black, OTR/L
• Leah Autry Black, PA C
• Melissa Black, LCSW-A
• Shelia Maria Black, DNP, NP-C
• Amanda Raine Blackburn
• Cheryl Blackmon, LCASA
• Lauren Blackmon, NP-BC
• Toni Rae Blackwell, OT
• Candaice Bladen
• Sara Patricia Bladon, PA-C

• Prosthetics Case Management in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Prosthetics Case Management in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.