NPI age
19 years
Enumerated 2007-05-04
● Active
Type 1 · Individual
DR. Micah Shawn Blackmon, MD
Blackmon is 1 of 6 urology providers in Newnan and 1 of 563 in Georgia.
Primary specialty
Urology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-10-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 563 active urology providers in Georgia.
NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
22% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-05Enumerated in NPPES
2007
2026
Where they practice
Practice location
775 Poplar Rd, Suite 160
Newnan, GA 302658300
Mailing address
Po Box 102321
Atlanta, GA 303682321
Specialties
-
Urology PrimaryA urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 202I348220 | MEDICARE PTAN |
Practice context
Part of a multi-provider practice. 25 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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