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

Jesse a Blackman, MD, PA

Organization Family Medicine Physician · NPI 1407887862

Jesse a Blackman, MD, PA is a Family Medicine Physician in Fremont, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

109 S Sycamore St
Fremont, NC 27830
Phone: (919) 242-5550
Fax: (919) 242-6428
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 18609 (NC)

Record details

NPI number1407887862
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jesse Blackman — President · (919) 242-5550
NPI enumeratedJuly 5, 2006
Last updated in NPPESAugust 22, 2020
Mailing address109 S. Sycamore Street, P O Box 878, Fremont, NC 27830