1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Psychiatry Neurology
  6. NPI Profile

LEE BLACKMON
NPI 1417489774
Psychiatry & Neurology - Psychiatry in Jacksonville, FL

Active since March 28, 2017PECOS EnrolledAccepts Medicare Assignment
580 W 8TH ST, 6TH FLOOR, SUITE 6005, JACKSONVILLE, FL 32209(904) 244-3990(904) 244-3455 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 29, 2021, Oct 15, 2019, Mar 28, 2017 (3 updates tracked since 2017).

About Lee Blackmon NPPES

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

LEE BLACKMON (NPI 1417489774) is an individual psychiatry provider in Jacksonville, Florida, licensed in North Carolina (202100603) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of Medical University Of South Carolina College Of Medicine (2017).

NPPES Registry Identity

NPI1417489774
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameLEE BLACKMON
Location Address580 W 8TH ST, 6TH FLOOR, SUITE 6005Jacksonville, FL 32209-6533
Mailing Address5003 S Miami Blvd, Ste 300Durham, NC 27703-8589 · (919) 354-0840 · Fax (877) 840-6694
Phone(904) 244-3990
Fax(904) 244-3455
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2017
Enumeration DateMarch 28, 2017
Last NPPES UpdateSeptember 29, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2021
✔ NPI 1417489774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in NC · 202100603✔ Licensed in SC · 86392
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License TRN24684 (FL)
580 W 8TH ST, Jacksonville, FL 32209
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next and more.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

Lee Blackmon 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 ID8123392339
PECOS Enrollment IDI20211007000768
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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
94 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32209 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
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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 20

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

DR. DUNBAR ALCINDOR M.D
Neurological Surgery
580 W 8TH ST, TOWER 1 -8TH FLOOR
JACKSONVILLE, FL 32209
Duval County (904) 244-9052
ALEX CAMERON WEAVER MD
Student in an Organized Health Care Education/Training Program
580 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 224-9394
DR. DANIEL LEWIS MD
Psychiatry & Neurology (Psychiatry)
580 W 8TH ST, SUITE 6005
JACKSONVILLE, FL 32209
Duval County (904) 244-9905
AMY MIDDLETON PURVIS
Physical Therapist
580 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (804) 244-9800
ELIZABETH RUELKE
Student in an Organized Health Care Education/Training Program
580 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-9905
DR. NARMADA MANNEM M.B.B.S.
Psychiatry & Neurology (Neurology)
580 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-9092
ELIZABETH J. KEANE PAC
Physician Assistant
580 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 383-1022
DR. RAJIV RAMAN
Ophthalmology
580 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-9390

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 Lee Blackmon's NPI number?

The NPI number for Lee Blackmon is 1417489774. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Where is Lee Blackmon located?

Lee Blackmon practices at 580 W 8th St 6th Floor, Suite 6005, Jacksonville, FL 32209. The listed phone number is (904) 244-3990.

What is Lee Blackmon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Lee Blackmon enrolled in Medicare?

Yes. Lee 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 Lee Blackmon accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next, Molina Healthcare and UnitedHealthcare list Lee 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.

When was this NPI record last updated?

The NPPES record for Lee Blackmon was last updated on September 29, 2021. 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.