Jonathan Blackmon, IDC
NPI 1619916186 · Independent Duty Corpsman · Saint Marys, GA
Jonathan Blackmon, IDC is a Independent Duty Corpsman provider in Saint Marys, GA (NPI 1619916186).
Provider details
- NPI number
- 1619916186
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
- Medical Technologist246QM0706X
Technologists, Technicians & Other Technical Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
83% 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
- 2006-06-06
- Last updated
- 2021-08-12
- Certified
- 2021-08-12
Frequently asked questions
- What is Jonathan Blackmon's NPI number?
- Jonathan Blackmon's National Provider Identifier (NPI) is 1619916186, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jonathan Blackmon's specialty?
- Jonathan Blackmon is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).
- Where is Jonathan Blackmon located?
- Jonathan Blackmon's practice location on file with NPPES is 603 Wild Grape Dr, Saint Marys, GA 31558-3619.
- What is Jonathan Blackmon's phone number?
- The practice phone number listed in the NPPES registry for Jonathan Blackmon is (912) 573-2940.
- Is Jonathan Blackmon's NPI active?
- Yes — Jonathan Blackmon's NPI (1619916186) is active in the NPPES registry as of the last update on 2021-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.