NPI age
18 years
Enumerated 2007-06-20
● Active
Type 1 · Individual
DR. Kimathi Sipho Ricardo Blackwood, M.D.
Blackwood is 1 of 25 internal medicine providers in MacOn and 1 of 562 in Georgia.
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-06-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 562 active internal medicine providers in Georgia.
NPI age
18 years
≈ at median (19 yr)
State licenses
1 state
18% of peers hold multiple states
Subspecialties
1
In the 35% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-06Enumerated in NPPES
2007
2026
Where they practice
Practice location
890 Second Street, Suite 201
MacOn, GA 312016863
Mailing address
595 Hurricane Shoals Rd Nw Ste 100
Lawrenceville, GA 300468762
Specialties
-
Internal Medicine PrimaryAn internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
-
Student in an Organized Health Care Education/Training ProgramAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 546478200BB | |
| 05 (GA) | 546478200C |
Practice context
Solo or small practice. No 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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