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

Mr. Robert Talmadge Blackwood Jr., PA-C

Individual provider Medical Physician Assistant · NPI 1619137270

Mr. Robert Talmadge Blackwood Jr., PA-C is a Physician Assistant in Clinton, North Carolina. Qualified in 2005, 21 years ago. Practices with North Carolina Mg LLC, a 712-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
21
Licensed in
NC
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

603 Beaman St Ste 501
Clinton, NC 28328-2691
Phone: (910) 299-7448
Fax: (910) 590-2462
Show map & directions

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

Additional practice locations (1)

  • 3000 New Bern Ave, Raleigh, NC 27610-1231 — (919) 231-8253

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-00146 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0010-00146 (NC)

Record details

NPI number1619137270
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 16, 2008
Last updated in NPPESMay 24, 2021
Certification dateMay 24, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice North Carolina Mg Llc — 712 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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