JONATHAN C. BLACKMORE DO – NPI #1972653269
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

JONATHAN BLACKMORE is a physician located in FAISON, NC. NPPES has assigned the NPI number 1972653269 to JONATHAN BLACKMORE on January 11, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 8 years ago on Oct 29, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JONATHAN BLACKMORE below.

NPI Profile for
JONATHAN C. BLACKMORE

NPI Number
1972653269
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JONATHAN C. BLACKMORE
Credentials
DO
Primary location
412 SOUTH EAST CENTER ST
FAISON, NC 28341
Phone: (910) 267-1942 Fax:
Mailing address
PO BOX 187
FAISON, NC 28341-0187
Phone: (910) 267-2042 Fax: (855) 996-9090
Sole Proprietor
No
Updated
Identifiers

Identifiers for JONATHAN BLACKMORE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNC1489881
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
NC 200500942

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.