DR SUMPTER D BLACKMON PA (NPI# 1720153539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720153539 |
| Entity Type | Organization |
| Organization Name | DR SUMPTER D BLACKMON PA |
| Practice Address |
321 Whiskey Run Rd Camden AL 36726-2303 |
| Mailing Address |
Po Box 699 Camden AL 36726-0699 |
| Practice Telephone | 3346824128 |
| Practice Fax Number | 3346829151 |
| Mailing Telephone | 3346824128 |
| Mailing Fax Number | 3346829151 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2010-02-02 |
| Authorized Official Name | DR. SUMPTER DUDLEY BLACKMON (PRESIDENT) |
| Authorized Official Telephone | 3346824128 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 5754 | AL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 000000454 | 05 |
| Street Address |
321 WHISKEY RUN RD |
| City | CAMDEN |
| State | AL |
| Zip Code | 36726-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972506194 | Sumpter Dudley Blackmon | Family Medicine | 321 Whiskey Run Rd, Camden, AL 36726-2303 | 2005-05-23 |
| 1316401557 | J Paul Jones Hospital Primary Care Clinic | Clinic/Center | 321 Whiskey Run Rd, Camden, AL 36726-2303 | 2019-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679639538 | William Robertson Phillipi Jr. | Dentist | 340 Earl Street, Camden, AL 36726 | 2006-12-28 |
| 1235299959 | Hometown Hospice of Camden Inc | Hospice Care, Community Based | 221 Claiborne Street, Camden, AL 36726 | 2006-12-11 |
| 1508925694 | Medcare Emergency Medical Services, Inc. | Ambulance | 317b Mcwilliams Ave, Camden, AL 36726 | 2006-12-06 |
| 1356441257 | Camden Nursing Facility Inc | Nursing Care | 550 Ponderosa Dr, Camden, AL 36726-0787 | 2006-09-22 |
| 1063480812 | J. Paul Jones Home Health | Home Health | 319a Mcwilliams Ave, Camden, AL 36726-1610 | 2006-03-09 |
| 1477520526 | J. Paul Jones Hospital | General Acute Care Hospital | 317 Mcwilliams Ave, Camden, AL 36726-1610 | 2006-03-07 |
| 1427025576 | J. Paul Jones Hospital Board Wilcox Medical Clinic | Clinic/Center | 319 Mcwilliams Ave, Camden, AL 36726-1610 | 2006-03-07 |
| 1497071575 | J. Paul Jones Hospital | Clinic/Center | 319 Mcwilliams Ave, Camden, AL 36726-1610 | 2010-04-14 |
| 1659604924 | Camden Homecare, LLC | Home Health | 319a Mcwilliams Ave, Camden, AL 36726-1610 | 2009-09-17 |
| 1588767222 | Alabama Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 7 Camden Byp, Camden, AL 36726-1707 | 2006-09-07 |
| Find all providers in zip 36726 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588173231 | Premise Health of Arkansas Medical P A | Clinic/Center | Highway 205, Highland Industrial Park, Camden, AR 71701-9998 | 2017-09-26 |
| 1023445699 | Northeast Pain Management | Clinic/Center | 1 Market St. #1c, Camden, NJ 08102 | 2013-09-27 |
| 1225397946 | Velez Professional Services LLC | Clinic/Center | 1000 Atlantic Ave Fl 1, Camden, NJ 08104-1132 | 2012-05-15 |
| 1659457901 | Communities In Schools Kershaw County | Clinic/Center | 905 West Dekalb Street, Suite A & F, Camden, SC 29020-9998 | 2006-10-30 |
| 1285612564 | Camden Medical Clinic, Inc | Clinic/Center | 160 Hospital Dr., Camden, TN 38320 | 2006-01-06 |
| 1730545567 | Lifecycles Health Services Inc | Clinic/Center | 433 N 7th St, First Floor, Camden, NJ 08102-2212 | 2016-01-09 |
| 1760780738 | West Tennessee Medical Group, Inc. | Clinic/Center | 186 Hospital Dr, Camden, TN 38320-1618 | 2011-03-01 |
| 1154591899 | Smith Chiropractic Clinic, Pllc | Clinic/Center | 258 W Main St, B, Camden, TN 38320-1644 | 2008-03-10 |
| 1447429493 | Camden Heart Care, LLC | Clinic/Center | 1045 W Dekalb St, Camden, SC 29020-4162 | 2008-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528670080 | Altadena Eye Care | Clinic/Center | 2409 Acton Rd Ste 161, Vestavia, AL 35243-2939 | 2020-08-17 |
| 1447877584 | Northern Lights Chiropractic L.L.C. | Clinic/Center | 2709 19th Pl S, Homewood, AL 35209-1919 | 2020-07-05 |
| 1033736749 | Psychotherapy/ Clinical Services LLC | Clinic/Center | 2622 Jordan Ln Nw, Huntsville, AL 35816-1014 | 2020-06-29 |
| 1598384265 | Ivy Leaf Health & Wellness LLC | Clinic/Center | 5585 Park Side Cir, Hoover, AL 35244-5124 | 2020-04-13 |
| 1083240618 | Patricia Kyl Padgett | Clinic/Center | 3206 20th Ave, Valley, AL 36854-2951 | 2020-03-16 |
| 1659905610 | Valley Vascular Access Center, LLC | Clinic/Center | 4700 Whitesburg Dr Sw Ste 300, Huntsville, AL 35802-1685 | 2020-02-28 |
| 1508407990 | Harrison Medical Consulting LLC | Clinic/Center | 146 Augusta Trl, Cullman, AL 35057-6990 | 2019-10-07 |
| 1174188650 | Clears Clinic Corporation | Clinic/Center | 28720 Us Highway 98 Ste 1, Daphne, AL 36526-7268 | 2019-05-09 |
| 1255892865 | Diabetes and Wellness Clinic of The Shoals | Clinic/Center | 1110 E 6th St Suite E, Muscle Shoals, AL 35661 | 2019-03-27 |
| 1558826818 | Healthcare and Beyond, LLC | Clinic/Center | 13951 Highway 231 431 N, Hazel Green, AL 35750-8651 | 2019-01-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.