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

Thomas Alexander Blackwell

Individual provider Emergency Medicine Physician · NPI 1265019970

Thomas Alexander Blackwell is an Emergency Medicine in Greenville, South Carolina. Qualified in 2021, 5 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
5
Licensed in
NC, SC
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

701 Grove Rd Fl 1
Greenville, SC 29605-4210
Phone: (864) 455-7899
Fax: (864) 455-5474
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10628 Park Rd, Charlotte, NC 28210-8407 — (704) 677-1000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 95569 (SC)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 303135 (NC)

Record details

NPI number1265019970
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 27, 2021
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025
Mailing address300 E McBee Ave Ste 300, Greenville, SC 29601-2899

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Greenville