Jesse a Blackman, MD, PA
NPI 1407887862 · Family Medicine Physician · Fremont, NC
Jesse a Blackman, MD, PA is a Family Medicine Physician organization in Fremont, NC (NPI 1407887862).
Provider details
- NPI number
- 1407887862
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jesse Blackman, President(919) 242-5550
- License
- 18609 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2006-07-05
- Last updated
- 2020-08-22
Frequently asked questions
- What is Jesse a Blackman, MD, PA's NPI number?
- Jesse a Blackman, MD, PA's National Provider Identifier (NPI) is 1407887862, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jesse a Blackman, MD, PA?
- Jesse a Blackman, MD, PA is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jesse a Blackman, MD, PA located?
- Jesse a Blackman, MD, PA's practice location on file with NPPES is 109 S. Sycamore Street, Fremont, NC 27830.
- What is Jesse a Blackman, MD, PA's phone number?
- The practice phone number listed in the NPPES registry for Jesse a Blackman, MD, PA is (919) 242-5550.
- Who is the authorized official for Jesse a Blackman, MD, PA?
- The authorized official listed on Jesse a Blackman, MD, PA's NPPES record is Jesse Blackman, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jesse a Blackman, MD, PA's NPI active?
- Yes — Jesse a Blackman, MD, PA's NPI (1407887862) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.