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

Blake Michael Leblanc

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356928246

Blake Michael Leblanc is an Internal Medicine in Jackson, Mississippi. Graduated from Louisiana State University School of Medicine in Shreveport in 2021, 5 years ago. Practices with Medical Foundation of Central Mississippi Inc, a 273-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
5
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
MS
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1190 N State St Ste 403
Jackson, MS 39202-2413
Phone: (769) 268-6770
Fax: (769) 268-6769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2500 N State St, Jackson, MS 39216-4500 — (601) 984-5601

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 33165 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1356928246
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 26, 2021
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025
Mailing address350 N Humphreys Blvd, Memphis, TN 38120-2177

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 2021 (5 years in practice)
Group practice Medical Foundation Of Central Mississippi Inc — 273 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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