P Praxis·MD
● Active Type 1 · Individual

Billy Jacob Blackmon, MD

Radiology·Saint Simons Island, GA· NPI 1215058110 · Enumerated 2007 · 19 years on NPI
Blackmon is 1 of 2 radiology providers in Saint Simons Island and 1 of 1280 in Georgia.
NPI age
19 years
Enumerated 2007-04-02
Primary specialty
Radiology
Plus 2 subspecialties
Licensed in
GA, CO, OH
3 states
Status
Active
No deactivations on record
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1280 active radiology providers in Georgia.

NPI age
19 years
≈ at median (19 yr)
State licenses
3 states
Top 78% — 21% of peers are multi-state
Subspecialties
0
38% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-04Enumerated in NPPES
2007 2026

Where they practice

Practice location
154 Rosemont St
Saint Simons Island, GA 315221777
📞 9125808162
Mailing address
154 Rosemont St
Saint Simons Island, GA 315221777
📞 9125808162

Additional practice locations

1 secondary location on file with NPPES.

Location 2
234 Goodman St
Cincinnati, OH 452192364
📞 5135847355fax 5135840431

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    GA license #001196CO license #DR.0058928OH license #35.094883 taxonomy 2085R0202X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Provyx · Custom healthcare lists

Need all 1280 Radiology providers in Georgia?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related