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

Amanda Blackmon

Individual provider Certified Registered Nurse Anesthetist · NPI 1083995518

Amanda Blackmon is a Certified Registered Nurse Anesthetist (CRNA) in Tupelo, Mississippi. Qualified in 2011, 15 years ago. Practices with Dhs Anesthesia LLC, a 25-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
15
Licensed in
MS
In the registry since
2011
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Practice location Address checks out

830 S Gloster St
Tupelo, MS 38801-4934
Phone: (662) 377-4394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence R898893 (MS)

Record details

NPI number1083995518
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 29, 2011
Last updated in NPPESJanuary 12, 2015

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Dhs Anesthesia Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Tupelo