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Deactivated NPI 1518337435 Deactivated / Inactive NPI Male Practitioner

Dr. James David Blackburn , MD

General Practice • Jefferson, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. James Blackburn has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 05, 2015
NPI Deactivation Date March 06, 2025
Total Practice Duration ~10 Years of Practice (2015 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. James Blackburn, MD was a registered General Practice practicing in Jefferson, TX. Throughout an active medical career spanning 10 years, Dr. Blackburn provided care at the practice location at 19499 STATE HIGHWAY 49 until profile deactivation on 2025-03-06.

Practice Location & Contact Primary Location

Practice Address

19499 State Highway 49

Jefferson, TX 756575251

Telephone 9036658996
Fax 9036658996

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Jefferson, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Jefferson, TX (1183 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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License TX C8902

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated March 06, 2025

Record deactivated on March 06, 2025

NPI Profile Active October 05, 2015

NPI status registered as active in NPPES database

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Updated Practice Location October 05, 2015

Registered at 19499 STATE HIGHWAY 49, JEFFERSON, TX 756575251 (Tel: 9036658996)

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Updated Business Mailing Address October 05, 2015

Registered at 19499 STATE HWY. 49, JEFFERSON, TX 756575251 (Tel: 9036658996)

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Provider Name / Credentials Updated October 05, 2015

Recorded as JAMES BLACKBURN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2015

General Practice (License #C8902 in TX)

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Initial NPI Registration & Enumeration October 05, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518337435
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2015
Last Update: October 05, 2015
Deactivation Date: March 06, 2025

Mailing Address

19499 State Hwy. 49

Jefferson, TX 756575251

Phone: 9036658996

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.