Billy J Blackmon (NPI# 1215058110, PAC ID# 4284758061) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1215058110 |
| PAC ID by PECOS | 4284758061 |
| Professional Enrollment ID | I20100831000519 |
| Full Name | Billy J Blackmon |
| Organization Legal Name | IMAGING ASSOCIATES OF GEORGIA LLC |
| Address |
316 N Broad St Winder GA 30680-2150 |
| Phone Number | 7708673400 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2005 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 3274845185 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110025 | SOUTHEAST GEORGIA HEALTH SYSTEM- BRUNSWICK CAMPUS |
| 111304 | MORGAN MEMORIAL HOSPITAL |
| 111311 | JENKINS COUNTY MEDICAL CENTER |
| 360123 | ST JOHN MEDICAL CENTER |
| 360041 | PARMA COMMUNITY GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2508 Heather Ln, Bogart, GA 30622-5362 | 2168441700 | UNIVERSITY HOSPITALS MEDICAL GROUP INC |
| 2415 Parkwood Dr, Brunswick, GA 31520-4722 | 9124667000 | IMAGING ASSOCIATES OF GEORGIA LLC |
| 2000 Dan Proctor Dr, Saint Marys, GA 31558-3810 | 9125766200 | IMAGING ASSOCIATES OF GEORGIA LLC |
| 316 N Broad St, Winder, GA 30680-2150 | 7708673400 | IMAGING ASSOCIATES OF GEORGIA LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 79% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 97% | |
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 95% |
| Organization Legal Name | IMAGING ASSOCIATES OF GEORGIA LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan G Osullivan | Diagnostic Radiology | Imaging Associates of Georgia LLC | 2415 Parkwood Dr, Brunswick, GA 31520-4722 |
| Kathleen Byington Malone | Diagnostic Radiology | Imaging Associates of Georgia LLC | 2000 Dan Proctor Dr, Saint Marys, GA 31558-3810 |
| Joshua Marion Blackmon | Diagnostic Radiology | Imaging Associates of Georgia LLC | 2000 Dan Proctor Dr, Saint Marys, GA 31558-3810 |
| David A Causey | Diagnostic Radiology | Imaging Associates of Georgia LLC | 2000 Dan Proctor Dr, Saint Marys, GA 31558-3810 |
| Street Address |
316 N BROAD ST |
| City | WINDER |
| State | GA |
| Zip | 30680-2150 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lloyd S Stuart | Family Medicine | Georgia Emergency Department Services, P.C. | 316 N Broad St, Winder, GA 30680-2150 |
| Naren P Logendra | Internal Medicine | Georgia Emergency Department Services, P.C. | 316 N Broad St, Winder, GA 30680-2150 |
| Patricia Dew | Nurse Practitioner | Georgia Emergency Department Services, P.C. | 316 N Broad St, Winder, GA 30680-2150 |
| Hicham Churbaji | Internal Medicine | Georgia Emergency Department Services, P.C. | 316 N Broad St, Winder, GA 30680-2150 |
| Lakisha J Kerr | Nurse Practitioner | Georgia Emergency Department Services, P.C. | 316 N Broad St, Winder, GA 30680-2150 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cara Patterson Robison | Optometry | 72 Westcandler St, Winder, GA 30680 | |
| Karen M Canupp | Optometry | Winder Eye Care Center | 90 Church St, Winder, GA 30680-1714 |
| Darrell A Sorah | Optometry | Winder Eye Care Center | 90 Church St, Winder, GA 30680-1714 |
| Mark W Hall | Optometry | Winder Eye Care Center | 90 Church St, Winder, GA 30680-1714 |
| Kathey J Payne | Certified Registered Nurse Anesthetist (crna) | Resource Anesthesia Barrow Inc. | 138 W Athens St, Winder, GA 30680-1776 |
| Melba C Smith Armstrong | Certified Registered Nurse Anesthetist (crna) | Resource Anesthesia Barrow Inc. | 138 W Athens St, Winder, GA 30680-1776 |
| Rasheed O Amao | Anesthesiology | Resource Anesthesia Barrow Inc. | 138 W Athens St, Winder, GA 30680-1776 |
| John Christy Snyder | Optometry | 135 N Broad St, Winder, GA 30680-2110 | |
| Staci Harwell Tebbetts | Optometry | Winder Eye Care Center | 279 N Broad St, Suite C, Winder, GA 30680-2155 |
| Rhett Kenneth Rainey | Orthopedic Surgery | Rhett K. Rainey, D. O. | 299 N Broad St, Winder, GA 30680-2155 |
| Find all physicians in zip 30680 | |||
| City | WINDER |
| Zip Code | 30680 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | WINDER + DIAGNOSTIC RADIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.