Jordon Blackmon, PA-C
NPI 1407640725 · Surgical Physician Assistant · Lawrenceville, GA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jordon Blackmon, PA-C is a Surgical Physician Assistant provider in Lawrenceville, GA (NPI 1407640725).
Provider details
- NPI number
- 1407640725
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 12984
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-04-09
- Last updated
- 2025-04-28
- Certified
- 2025-04-28
Frequently asked questions
- What is Jordon Blackmon's NPI number?
- Jordon Blackmon's National Provider Identifier (NPI) is 1407640725, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jordon Blackmon's specialty?
- Jordon Blackmon is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jordon Blackmon located?
- Jordon Blackmon's practice location on file with NPPES is 501 Crown Pointe Way, Lawrenceville, GA 30046.
- What is Jordon Blackmon's phone number?
- The practice phone number listed in the NPPES registry for Jordon Blackmon is (678) 344-8900.
- Does Jordon Blackmon accept Medicare?
- Jordon Blackmon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jordon Blackmon's NPI active?
- Yes — Jordon Blackmon's NPI (1407640725) is active in the NPPES registry as of the last update on 2025-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.