Davaul Blackmon
NPI 1700771847ActiveIndividual· Nurse Practitioner, Acute Care· Montgomery, AL
Nurse Practitioner, Acute Care with Phoebe Physician Group Inc, practicing in Montgomery, Alabama. Enrolled in Medicare as practitioner - nurse practitioner and practitioner - nurse practitioner. Lists Phoebe Putney Memorial Hospital as a hospital affiliation.
Overview
| NPI | 1700771847 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 10, 2025 |
| Last updated in NPPES | Jan 17, 2026 |
| Certified by provider | Jan 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | 2025023280 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (AL); Practitioner - Nurse Practitioner (FL); Practitioner - Nurse Practitioner (GA) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Phoebe Physician Group IncAmericus, GA · 430 clinicians
Hospital affiliation
- Phoebe Putney Memorial HospitalAlbany, GA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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