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

Joseph W Blackston, MD

Individual provider Emergency Medicine Physician · NPI 1194834747

Joseph W Blackston, MD is a Family Practice in Jackson, Mississippi. Graduated from University of Mississippi School of Medicine in 1986, 40 years ago. Practices with Medical Associates of Vicksburg PLLC, an 8-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
40
Trained at
University of Mississippi School of Medicine
Licensed in
MS
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1900 Petit Bois St N
Jackson, MS 39211-6707
Phone: (601) 981-4625
Fax: (601) 981-4625
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD 11335 (MS)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 11335 (MS)
Legal Medicine (M.D./D.O.) Physician Taxonomy 209800000X · Licence MD 11335 (MS)

Record details

NPI number1194834747
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESSeptember 11, 2007

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 1986 (40 years in practice)
Group practice Medical Associates Of Vicksburg Pllc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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