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DAVID BLACKMON PH.D.
NPI 1144338211
Psychologist - Clinical in Ponte Vedra Beach, FL

Active since August 28, 2006PECOS EnrolledAccepts Medicare Assignment
330 A1A N STE 325, PONTE VEDRA BEACH, FL 32082(904) 333-3389(904) 713-2989 Get Directions Write a Review

NPPES record last updated: October 10, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David Blackmon Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID BLACKMON PH.D. (NPI 1144338211) is an individual clinical provider in Ponte Vedra Beach, Florida, licensed in Florida (PY0004360) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1144338211
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDAVID BLACKMONCredential: PH.D.
Location Address330 A1A N STE 325Ponte Vedra Beach, FL 32082-1826
Mailing Address330 A1a N Ste 325Ponte Vedra Beach, FL 32082-1826 · (904) 333-3389 · Fax (904) 713-2989
Phone(904) 333-3389
Fax(904) 713-2989
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateAugust 28, 2006
Last NPPES UpdateOctober 10, 2013
✔ NPI 1144338211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in FL · PY0004360
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
330 A1A N STE 325, Ponte Vedra Beach, FL 32082
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Other Identifiers 1

Medicare ID-Type Unspecified54401FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Blackmon Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002083003
PECOS Enrollment IDI20120113000658
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32082 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PONTE VEDRA HEARING ASSOCIATES, LLC
Hearing Instrument Specialist
330 A1A N STE 325
PONTE VEDRA, FL 32082
St. Johns County (904) 373-5803
MR. JERRY D HOWARD
Hearing Instrument Specialist
330 A1A N STE 325
PONTE VEDRA, FL 32082
St. Johns County (904) 373-5803

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Blackmon's NPI number?

The NPI number for David Blackmon is 1144338211. It was assigned to this individual provider in the NPPES registry on August 28, 2006.

Where is David Blackmon located?

David Blackmon practices at 330 A1a N Ste 325, Ponte Vedra Beach, FL 32082. The listed phone number is (904) 333-3389.

What is David Blackmon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is David Blackmon enrolled in Medicare?

Yes. David Blackmon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for David Blackmon was last updated on October 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.