Scott Blackburn, NP
Scott Blackburn, NP is a Primary Care Nurse Practitioner in Southgate, MI, registered under NPI 1003554494.
Getting there
Here is what surrounds this office in Southgate, based on OpenStreetMap data collected Oct 6, 2026. Parking is available about 0.23 mi away. A pharmacy sits 0.26 mi from the entrance (Walgreens), which helps if you leave with a prescription. If you arrive early, there is a coffee shop 441 ft away.
Getting here and what is nearby
Restaurant Secret Recipes Family Dining 293 ft ~2 min
11222 Allen Road, Taylor 48180
Coffee Tim Hortons 441 ft ~2 min
11130 Allen Road, Taylor 48180-4344
Mo-We 06:00-20:00; Fr-Su 06:00-20:00
Restaurant Joa Sushi 433 ft ~2 min
11205 Allen Road, Southgate 48195
Restaurant New Hunan 502 ft ~2 min
11175 Allen Road, Southgate 48195
Pharmacy CVS Pharmacy 645 ft ~3 min
Parking 696 ft ~3 min
Grocery Trentwood Farms 787 ft ~3 min
11005 Allen Road, Southgate 48195
Convenience Amoco 896 ft ~4 min
19141 Goddard Road, Southgate 48195
Gas station Amoco 927 ft ~4 min
19141 Goddard Road, Southgate 48195
Parking 0.21 mi ~5 min
Convenience Marathon 0.22 mi ~5 min
10955 Allen Road, Allen Park 48101
Gas station Marathon 0.22 mi ~5 min
10955 Allen Road, Allen Park 48101
Parking 0.23 mi ~5 min
Pharmacy Walgreens 0.26 mi ~6 min
20090 Goddard Road, Taylor 48180
Mo-Fr 09:00-21:00; Sa 10:00-18:00; Su 11:00-15:00
Gas station Exxon 0.29 mi ~6 min
Convenience Tiger Mart 0.30 mi ~7 min
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 4704326782 | MI | Primary Care Nurse Practitioner primary |
This provider holds licence 4704326782 issued in MI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Nurse Practitioner
- PAC ID
- 0143699355
- Enrollment ID
- I20221210000429
Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Primary Care covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LP2300X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003554494 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | May 25, 2022 |
| Last updated | Jul 21, 2026 |
| Status | Active |
| Sole proprietor | No |
| Gender | Male |
| Credential | NP |
| Practice address |
11275 ALLEN RD Southgate, MI 48195 (313) 383-7071 Fax (313) 383-7194 |
| Other identifiers |
4704326782
· Other (MI) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 5 | 5 | 4 | 4 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 1 | 5 | 8 | 4 | 9 |
Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.