Kelly Blackmon, APRN
NPI 1992110688 · Nurse Practitioner · Waycross, GA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Blackmon, APRN is a Nurse Practitioner provider in Waycross, GA (NPI 1992110688).
Provider details
- NPI number
- 1992110688
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- APRN-NP124057 (GA)
Specialties & taxonomies
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 tenure25% of score
12 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
238 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. 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 .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Residence Visit for Established Patient With Low Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99348 | 63 | $62 |
| Residence Visit for New Patient With High Level of Medical Decision Making, Per Day, If Using Time, at Least 75 Minutes99345 | 59 | $162 |
| Residence Visit for Established Patient With High Level of Medical Decision Making, Per Day, If Using Time, at Least 60 Minutes99350 | 51 | $149 |
| Residence Visit for Established Patient With Straightforward Medical Decision Making, Per Day, If Using Time, at Least 15 Minutes99347 | 29 | $37 |
| Residence Visit for Established Patient With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99349 | 18 | $102 |
| Advance Care Planning, First 30 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Trazodone Hcl | 29 | 12 |
| Pantoprazole Sodium | 28 | — |
| Clopidogrel Bisulfatebrand: Clopidogrel | 25 | — |
| Metoprolol Tartrate | 25 | — |
| Sertraline Hcl | 19 | 12 |
| Prednisone | 14 | — |
| Clonazepam |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$23 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 2409 N. Patterson StreetSuite 230Valdosta, GA 31602-2512Phone: (229) 259-4369Fax: (229) 433-6513
Registry dates
- Enumerated
- 2014-06-22
- Last updated
- 2025-10-15
- Certified
- 2025-10-15
Frequently asked questions
- What is Kelly Blackmon's NPI number?
- Kelly Blackmon's National Provider Identifier (NPI) is 1992110688, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Blackmon's specialty?
- Kelly Blackmon is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kelly Blackmon located?
- Kelly Blackmon's practice location on file with NPPES is 1706 Alice St, Waycross, GA 31501-5216.
- What is Kelly Blackmon's phone number?
- The practice phone number listed in the NPPES registry for Kelly Blackmon is (912) 285-1140.
- Does Kelly Blackmon accept Medicare?
- Kelly Blackmon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Blackmon's NPI active?
- Yes — Kelly Blackmon's NPI (1992110688) is active in the NPPES registry as of the last update on 2025-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.