Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Mark Blackmon, PA-C

Individual provider Surgical Physician Assistant · NPI 1184359051

Mark Blackmon, PA-C is a Surgical Physician Assistant in Nashville, Tennessee. Works from 2 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1301 Medical Center Dr
Nashville, TN 37232-0028
Phone: (615) 322-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1559 Sparta St, McMinnville, TN 37110-1316 — (931) 815-4000

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 5627 (TN)

Record details

NPI number1184359051
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 23, 2022
Last updated in NPPESSeptember 3, 2026
Certification dateSeptember 3, 2026

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients204
Services billed 257 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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