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

Amanda Blackmon

Individual provider Certified Registered Nurse Anesthetist · NPI 1083995518

Amanda Blackmon is a Certified Registered Nurse Anesthetist (CRNA) in Tupelo, Mississippi. Qualified in 2011, 15 years ago. Practices with Dhs Anesthesia LLC, a 25-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
15
Licensed in
MS
In the registry since
2011
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Practice location Address checks out

830 S Gloster St
Tupelo, MS 38801-4934
Phone: (662) 377-4394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence R898893 (MS)

Record details

NPI number1083995518
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 29, 2011
Last updated in NPPESJanuary 12, 2015
Mailing addressPo Box 3294, Tupelo, MS 38803-3294

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Dhs Anesthesia Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Tupelo