BRANDI BLACKMON PA-C
NPI 1588515183
Physician Assistant - Surgical in Camden, SC

Active since February 09, 2026PECOS EnrolledAccepts Medicare Assignment
1102 ROBERTS ST, CAMDEN, SC 29020(803) 432-7682 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brandi Blackmon Pa-c NPPES

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

BRANDI BLACKMON PA-C (NPI 1588515183) is an individual surgical provider in Camden, South Carolina and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS, is affiliated with Kershawhealth, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1588515183
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameBRANDI BLACKMONCredential: PA-C
Location Address1102 ROBERTS STCamden, SC 29020-3734
Mailing AddressPo Box 23321New York, NY 10087-4321 · (803) 432-7682
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 9, 2026
Last NPPES UpdateFebruary 11, 2026
NPPES CertifiedFebruary 11, 2026
NPI 1588515183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
1102 ROBERTS ST, Camden, SC 29020

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

Brandi 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 ID4082198791
PECOS Enrollment IDI20260320001081
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

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

Kershawhealth

Acute Care Hospitals · Camden, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420048
Location1315 Roberts StreetCamden, SC 29020 · Kershaw County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 5

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

Surgery
1102 ROBERTS ST
CAMDEN, SC 29020
Surgery
1102 ROBERTS ST
CAMDEN, SC 29020
Surgery
1102 ROBERTS ST
CAMDEN, SC 29020
Surgery
1102 ROBERTS ST
CAMDEN, SC 29020
Surgery
1102 ROBERTS ST
CAMDEN, SC 29020

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 Brandi Blackmon's NPI number?

The NPI number for Brandi Blackmon is 1588515183. It was assigned to this individual provider in the NPPES registry on February 9, 2026.

Where is Brandi Blackmon located?

Brandi Blackmon practices at 1102 Roberts St, Camden, SC 29020. The listed phone number is (803) 432-7682.

What is Brandi Blackmon's specialty?

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

Is Brandi Blackmon enrolled in Medicare?

Yes. Brandi 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.

Is Brandi Blackmon affiliated with any hospitals?

According to CMS data, Brandi Blackmon is affiliated with Kershawhealth.

When was this NPI record last updated?

The NPPES record for Brandi Blackmon was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.