BILLY JACOB BLACKMON MD
NPI 1215058110
Radiology - Diagnostic Radiology in Saint Simons Island, GA
About Billy Jacob Blackmon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BILLY JACOB BLACKMON MD (NPI 1215058110) is an individual diagnostic radiology provider in Saint Simons Island, Georgia, licensed in Georgia (001196) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and maintains a secondary practice location in Cincinnati.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Billy Jacob Blackmon Md 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.
Medicare Billing Reassignments
15Medicare enrollment records show Billy Blackmon reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Marys, GA 31558
- Reassigned Medicare billing, Georgia enrollment
- 2 clinicians in this Medicare group
Leesburg, FL 34748
- Reassigned Medicare billing, Nevada enrollment
- 4 clinicians in this Medicare group
Titusville, FL 32780
- Reassigned Medicare billing, Florida enrollment
- 184 clinicians in this Medicare group
Orlando, FL 32835
- Reassigned Medicare billing, Florida enrollment
- 325 clinicians in this Medicare group
Spring Hill, FL 34606
- Reassigned Medicare billing, Florida and Georgia enrollments
- Also billed through NPI 1467654244 (Georgia)
- 210 clinicians in this Medicare group
Melbourne, FL 32901
- Reassigned Medicare billing, Florida enrollment
- 82 clinicians in this Medicare group
Tampa, FL 33606
- Reassigned Medicare billing, Florida, Georgia and Nevada enrollments
- 1,130 clinicians in this Medicare group
Greenville, SC 29601
- Reassigned Medicare billing, Nevada enrollment
- 5 clinicians in this Medicare group
Conover, NC 28613
- Reassigned Medicare billing, North Carolina enrollment
- 583 clinicians in this Medicare group
Greensboro, NC 27401
- Reassigned Medicare billing, Georgia enrollment
- 40 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 70
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sacred Heart Hospital
Acute Care Hospitals · Pensacola, FLAscension Sacred Heart Bay
Acute Care Hospitals · Panama City, FLTampa General Hospital Brooksville
Acute Care Hospitals · Brooksville, FLSarasota Memorial Hospital
Acute Care Hospitals · Sarasota, FLSarasota Memorial Hospital - Venice
Acute Care Hospitals · North Venice, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31522 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Billy Blackmon's NPI number?
The NPI number for Billy Blackmon is 1215058110. It was assigned to this individual provider in the NPPES registry on April 2, 2007.
Where is Billy Blackmon located?
Billy Blackmon practices at 154 Rosemont St, Saint Simons Island, GA 31522. The listed phone number is (912) 580-8162.
What is Billy Blackmon's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Billy Blackmon enrolled in Medicare?
Yes. Billy 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.
Which organizations bill Medicare for Billy Blackmon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Billy Blackmon reassigns Medicare benefits to 15 organizations: Prodocs LLC (Saint Marys, GA), Florida Radiology Associates LLC (Leesburg, FL), North Brevard Medical Support, Inc (Titusville, FL), Gastro Health, LLC (Orlando, FL), Tower Imaging LLC (Spring Hill, FL) and 10 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Billy Blackmon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Billy Blackmon accept?
Health plans from Blue Cross and Blue Shield of NC, CareSource, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Oscar Health and 3 other insurers list Billy Blackmon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Billy Blackmon affiliated with any hospitals?
According to CMS data, Billy Blackmon is affiliated with Sacred Heart Hospital, Ascension Sacred Heart Bay, Tampa General Hospital Brooksville, Sarasota Memorial Hospital and Sarasota Memorial Hospital - Venice.
When was this NPI record last updated?
The NPPES record for Billy Blackmon was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.