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

Dr. Derrick Lewis Blackwell, DO

Individual provider Family Medicine Physician · NPI 1134348485

Dr. Derrick Lewis Blackwell, DO is a Family Practice in Charlotte, North Carolina. Qualified in 2004, 22 years ago. Practices with The Weston Group Inc, a 223-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan and North Carolina.

Years since qualifying
22
Licensed in
MI, NC
In the registry since
2007
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4500 Cameron Valley Pkwy Ste 100
Charlotte, NC 28211-3542
Phone: (704) 384-7910
Fax: (704) 384-7914
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3614 Providence Rd S, Waxhaw, NC 28173-6310 — (704) 384-8640

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2014-00430 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 5101016178 (MI)

Record details

NPI number1134348485
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 25, 2007
Last updated in NPPESAugust 1, 2022
Certification dateAugust 1, 2022

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice The Weston Group Inc — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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