P Praxis·MD
● Active Type 1 · Individual

MRS. Brenda Womack Blackmon, RN

Registered Nurse·Fort Gordon, GA· NPI 1235398074 · Enumerated 2008 · 17 years on NPI
Blackmon is 1 of 1 registered nurse providers in Fort Gordon and 1 of 38 in Georgia.
NPI age
17 years
Enumerated 2008-06-06
Primary specialty
Registered Nurse
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-06-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 38 active registered nurse providers in Georgia.

NPI age
17 years
↑ 13 yr above median (3 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-06Enumerated in NPPES
2008 2026

Where they practice

Practice location
300 W Hospital Road 11c17 Eamc, Attn Office Of Graduate Medical Education
Fort Gordon, GA 309055650
📞 7067874657fax 7067871745
Mailing address
300 W Hospital Road 11c17 Eamc, Attn Office Of Graduate Medical Education
Fort Gordon, GA 309055650
📞 7067874657fax 7067871745

Specialties

  • Registered Nurse Primary
    Definition to come...
    GA license #RN141115 taxonomy 163WM0102X

Practice context

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

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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.

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