Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003890179 Individual Practitioner Male Practitioner

Dr. Fred Blackledge , MD

Plastic Surgery • Jackson, MS

Professional Overview & Biography Verified Profile Summary

Dr. Fred Blackledge, MD is a registered healthcare professional specializing in Plastic Surgery in Jackson, MS. Practice services are available at 764 LAKELAND DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

764 Lakeland Dr

Jackson, MS 392164617

Telephone 6019813033
Fax 6019828132
Associated Practice Facility / Clinic
🏢 A.terrel Williams, Md, Pllc Facility NPI 1386861649

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Jackson, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 28.2 Yrs
Regional Practice Density
12 Specialists

Practicing in Jackson, MS (35 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License MS 16006

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Sara Burwell

Nurse Practitioner - Family

NPI 1063840148
NPI 1104241660

Doctor of Medicine (M.D.)

Dr. Chinedu Ifejiagwa , MD

Student in an Organized Health Care Education/Training Program

NPI 1124550819

Doctor of Medicine (M.D.)

NPI 1174147003

Doctor of Medicine (M.D.)

Dr. Carrie Allen , MD

Family Medicine

NPI 1255071288

Doctor of Medicine (M.D.)

Dr. Kiara Richardson , MD

Student in an Organized Health Care Education/Training Program

NPI 1275283533

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 764 LAKELAND DR, JACKSON, MS 392164617 (Tel: 6019813033)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 24023, JACKSON, MS 392254023 (Tel: 6013661400)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as FRED BLACKLEDGE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Plastic Surgery (License #16006 in MS)

🟢
Initial NPI Registration & Enumeration December 02, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Fred Blackledge. Be the first to share your experience!

Sign in to leave a review for Dr. Fred Blackledge

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1003890179
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 02, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

Po Box 24023

Jackson, MS 392254023

Phone: 6013661400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.