Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blackwell's Family Medicine LLC

Organization Primary Care Clinic/Center · NPI 1366003436

Blackwell's Family Medicine LLC is a Primary Care Clinic/Center in Tylertown, Mississippi. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

107 Ball Ave
Tylertown, MS 39667-2101
Phone: (601) 303-8264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1366003436
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chrisotpher Blackwell — Owner, Provider · (601) 377-1975
NPI enumeratedJune 27, 2019
Last updated in NPPESMarch 15, 2021
Certification dateMarch 15, 2021
Mailing address171 Pigott Easterling Rd, Tylertown, MS 39667-7222

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