Sumpter D Blackmon (NPI# 1972506194, PAC ID# 2365442258) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1972506194 |
| PAC ID by PECOS | 2365442258 |
| Professional Enrollment ID | I20061227000021 |
| Full Name | Sumpter D Blackmon |
| Address |
321 Whiskey Run Rd Camden AL 36726-2303 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1969 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010102 | J PAUL JONES HOSPITAL |
| 010118 | VAUGHAN REGIONAL MEDICAL CENTER PARKWAY CAMPUS |
| 010023 | BAPTIST MEDICAL CENTER SOUTH |
| Address | Phone | Organization |
|---|---|---|
| 321 Whiskey Run Rd, Camden, AL 36726-2303 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Street Address |
321 WHISKEY RUN RD |
| City | CAMDEN |
| State | AL |
| Zip | 36726-2303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kramer O Wells | Emergency Medicine | J Paul Jones Hospital | 319 Mcwilliams Ave, Camden, AL 36726-1610 |
| Cathy Beatty | Nurse Practitioner | J Paul Jones Hospital | 317 Mcwilliams Ave, Camden, AL 36726-1610 |
| Morris W Cochran | Family Practice | J Paul Jones Hospital | 317 Mcwilliams Ave, Camden, AL 36726-1610 |
| Willie E White | Family Practice | J Paul Jones Hospital | 317 Mcwilliams Ave, Camden, AL 36726-1610 |
| Virginia L Stewart | Physical Therapy | 325 Whiskey Run Rd, Camden, AL 36726-2303 | |
| Edward Childs | Internal Medicine | Rural Health Medical Program, Inc. | 2210 Hwy 221, Camden, AL 36726-4233 |
| City | CAMDEN |
| Zip Code | 36726 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CAMDEN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Sumpter D Blackmon.
| 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.