Victor Blackett, MD
NPI 1063701100 · General Practice Physician · Old Hickory, TN
Enrolled with Medicare as Order and Referring Only - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Victor Blackett, MD is a General Practice Physician provider in Old Hickory, TN (NPI 1063701100).
Provider details
- NPI number
- 1063701100
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 294 Summar DrJackson, TN 38301-3915Phone: (731) 423-1932Fax: (731) 410-0367
Registry dates
- Enumerated
- 2011-03-29
- Last updated
- 2018-03-17
Frequently asked questions
- What is Victor Blackett's NPI number?
- Victor Blackett's National Provider Identifier (NPI) is 1063701100, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Victor Blackett's specialty?
- Victor Blackett is listed in the NPPES registry with a primary specialty of General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Victor Blackett located?
- Victor Blackett's practice location on file with NPPES is 677 Granwood Blvd, Old Hickory, TN 37138-4243.
- What is Victor Blackett's phone number?
- The practice phone number listed in the NPPES registry for Victor Blackett is (615) 336-2242.
- Does Victor Blackett accept Medicare?
- Victor Blackett is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Victor Blackett's NPI active?
- Yes — Victor Blackett's NPI (1063701100) is active in the NPPES registry as of the last update on 2018-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.