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

Ronald L Blackmore, MD

Individual provider Family Medicine Physician · NPI 1770547606

Ronald L Blackmore, MD is a Family Practice in Johnson City, Tennessee. Graduated from University of Missouri, Columbia School of Medicine in 1993, 33 years ago. Practices with State of Franklin Healthcare Associates, PLLC, a 265-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
33
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
TN
In the registry since
2006
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

101 Med Tech Pkwy Ste 100
Johnson City, TN 37604-4006
Phone: (423) 794-1800
Fax: (423) 794-1801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD31358 (TN)

Record details

NPI number1770547606
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2006
Last updated in NPPESJuly 21, 2022
Mailing address101 Med Tech Parkway, Ste 100, Johnson City, TN 37604

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice State Of Franklin Healthcare Associates, Pllc — 265 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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