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JORDON BLACKMON PA-C
NPI 1407640725
Physician Assistant - Surgical in Lawrenceville, GA

Active since April 09, 2025PECOS EnrolledAccepts Medicare Assignment
501 CROWN POINTE WAY, LAWRENCEVILLE, GA 30046(678) 344-8900 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jordon Blackmon Pa-c NPPES

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

JORDON BLACKMON PA-C (NPI 1407640725) is an individual surgical provider in Lawrenceville, Georgia, licensed in Georgia (12984) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and is a graduate of Philadelphia College Of Osteopathic Medicine (2024).

NPPES Registry Identity

NPI1407640725
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJORDON BLACKMONCredential: PA-C
Location Address501 CROWN POINTE WAYLawrenceville, GA 30046
Mailing Address1551 Janmar RdSnellville, GA 30078-5606 · (470) 579-5600 · Fax (678) 691-0506
Phone(678) 344-8900
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2024
Enumeration DateApril 9, 2025
Last NPPES UpdateApril 28, 2025
NPPES CertifiedApril 28, 2025
✔ NPI 1407640725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in GA · 12984✔ Licensed · 12984
Also ListedPhysician AssistantTaxonomy 363A00000X · License 12984 (GA)
501 CROWN POINTE WAY, Lawrenceville, GA 30046
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

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

Jordon Blackmon Pa-c 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 ID8224554639
PECOS Enrollment IDI20250429002094
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Piedmont Rockdale Hospital

Acute Care Hospitals · Conyers, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110091
Location1412 Milstead Avenue, NEConyers, GA 30012 · Rockdale County
Birthing friendly

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110192
Location1700 Medical WaySnellville, GA 30078 · Gwinnett County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

IAN THOMAS PA
Physician Assistant (Surgical)
501 CROWN POINTE WAY
LAWRENCEVILLE, GA 30046
Gwinnett County (404) 341-6583

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 Jordon Blackmon's NPI number?

The NPI number for Jordon Blackmon is 1407640725. It was assigned to this individual provider in the NPPES registry on April 9, 2025.

Where is Jordon Blackmon located?

Jordon Blackmon practices at 501 Crown Pointe Way, Lawrenceville, GA 30046. The listed phone number is (678) 344-8900.

What is Jordon Blackmon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jordon Blackmon enrolled in Medicare?

Yes. Jordon 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.

What insurance does Jordon Blackmon accept?

Health plans from Alliant Health Plans, Inc. list Jordon 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 Jordon Blackmon affiliated with any hospitals?

According to CMS data, Jordon Blackmon is affiliated with Northside Hospital Gwinnett, Piedmont Rockdale Hospital and Piedmont Eastside Medical Center.

When was this NPI record last updated?

The NPPES record for Jordon Blackmon was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.