Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jack Thomas Blackwell Jr., MD

Individual provider Anesthesiology Physician · NPI 1356332100

Dr. Jack Thomas Blackwell Jr., MD is an Anesthesiology in Savannah, Georgia. Graduated from Medical College of Georgia School of Medicine in 1979, 47 years ago. Practices with Ams Southeast LLC, a 82-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
47
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2005
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

415 Eisenhower Dr Ste 6
Savannah, GA 31406-2600
Phone: (912) 354-3510
Fax: (912) 356-3391
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 023908 (GA)

Record details

NPI number1356332100
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 1, 2005
Last updated in NPPESJuly 13, 2026

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 1979 (47 years in practice)
Group practice Ams Southeast Llc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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