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

Amanda Blackwell, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104529551

Amanda Blackwell, MD is an Emergency Medicine in Jackson, Mississippi. Graduated from University of Mississippi School of Medicine in 2023, 3 years ago. Licensed in Mississippi.

Years since qualifying
3
Trained at
University of Mississippi School of Medicine
Licensed in
MS
In the registry since
2023
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (228) 218-0246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence T-5140 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MS)

Record details

NPI number1104529551
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2023
Last updated in NPPESJuly 12, 2023
Certification dateJuly 12, 2023
Mailing address2500 N State St, Jackson, MS 39216-4500

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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