John Blackburn, CRNA
NPI 1164490801 · Certified Registered Nurse Anesthetist · Irmo, SC
John Blackburn, CRNA is a Certified Registered Nurse Anesthetist provider in Irmo, SC (NPI 1164490801).
Provider details
- NPI number
- 1164490801
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 11770 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2006-03-09
- Last updated
- 2007-07-08
Frequently asked questions
- What is John Blackburn's NPI number?
- John Blackburn's National Provider Identifier (NPI) is 1164490801, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Blackburn's specialty?
- John Blackburn is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is John Blackburn located?
- John Blackburn's practice location on file with NPPES is 7210g Broad River Rd, Irmo, SC 29063-7972.
- What is John Blackburn's phone number?
- The practice phone number listed in the NPPES registry for John Blackburn is (803) 407-5266.
- Is John Blackburn's NPI active?
- Yes — John Blackburn's NPI (1164490801) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.