MEDICARE: SHANTA BLAKNEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171W00000X	Contractor		MS

General Provider Information

NPI Number	:	1346192028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANTA BLAKNEY

Provider Business Mailing Address
First Line	:	169 S MCCRARY RD
Second Line	:
City	:	COLUMBUS
State	:	MS
Zip	:	39702-6319
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	169 S MCCRARY RD
Second Line	:
City	:	COLUMBUS
State	:	MS
Zip	:	39702-6319
Country	:	US
Telephone Number	:	662-630-5181
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

Similar Medicare Providers

1982447868 — DR. C. CHANCE FARRIS DMD
Practice Location Address:

220 ALABAMA ST
COLUMBUS, MS
39702-5204

Practice Phone: 662-328-5197
Practice Fax: 662-327-5174

1437153715 — JAMES KILGORE DPM
Practice Location Address:

116 LAWRENCE DR , STE 2
COLUMBUS, MS
39702-5319

Practice Phone: 662-327-8910
Practice Fax:

1932104619 — REHAB AT WORK PLLC
Practice Location Address:

65 DUTCH LN
COLUMBUS, MS
39702-5523

Practice Phone: 662-241-4545
Practice Fax: 662-241-4025

1831194364 — LINDA LAMISON NP
Practice Location Address:

2110 LAKE LOWNDES RD
COLUMBUS, MS
39702-9655

Practice Phone: 662-329-4940
Practice Fax: 662-329-4928

1285630715 — DR. GERALD TURNER MD
Practice Location Address:

56 DUTCH LN
COLUMBUS, MS
39702-5500

Practice Phone: 662-329-3808
Practice Fax: 662-329-3873

1821080185 — TRACI L WRIGHT OTR/L
Practice Location Address:

65 DUTCH LN
COLUMBUS, MS
39702-5523

Practice Phone: 662-241-4545
Practice Fax: 662-241-4025

Directions to “ SHANTA BLAKNEY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.