Magdalene Peace Blevins, MD
Student in an Organized Health Care Education/Training Program in Durham, NC. Individual provider (NPI-1).
NPI number1902500549
StatusActive
Last updated in NPPESJun 15, 2023
Details
- NPI
- 1902500549
- Entity type
- Individual (NPI-1)
- Name
- Magdalene Peace Blevins
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2023
- Certification date
- Jun 15, 2023
- Last updated
- Jun 15, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
2301 Erwin RdDurham, NC 27705-4699
Phone 919-684-8111
Mailing address
2301 Erwin RdDurham, NC 27705-4699
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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