Joshua Marion Blackmon (NPI# 1750599742, PAC ID# 7113197484) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1750599742 |
| PAC ID by PECOS | 7113197484 |
| Professional Enrollment ID | I20120501000843 |
| Full Name | Joshua Marion Blackmon |
| Organization Legal Name | IMAGING ASSOCIATES OF GEORGIA LLC |
| Address |
2000 Dan Proctor Dr Saint Marys GA 31558-3810 |
| Phone Number | 9125766200 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2006 |
| 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 |
| 360145 | UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER |
| 360359 | UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER |
| 360041 | PARMA COMMUNITY GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2508 Heather Ln, Bogart, GA 30622-5362 | 2168441700 | UNIVERSITY HOSPITALS MEDICAL GROUP INC |
| 2000 Dan Proctor Dr, Saint Marys, GA 31558-3810 | 9125766200 | IMAGING ASSOCIATES OF GEORGIA LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 91% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 74% |
| Organization Legal Name | IMAGING ASSOCIATES OF GEORGIA LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Billy J Blackmon | Diagnostic Radiology | Imaging Associates of Georgia LLC | 316 N Broad St, Winder, GA 30680-2150 |
| 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 |
| David A Causey | Diagnostic Radiology | Imaging Associates of Georgia LLC | 2000 Dan Proctor Dr, Saint Marys, GA 31558-3810 |
| Street Address |
2000 DAN PROCTOR DR |
| City | SAINT MARYS |
| State | GA |
| Zip | 31558-3810 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Catanzaro | Cardiac Electrophysiology | University of Florida Jacksonville Physicians, Inc. | 2000 Dan Proctor Dr, St Mary's, GA 31558-3810 |
| Martin Zenni | Cardiovascular Disease (cardiology) | University of Florida Jacksonville Physicians, Inc. | 2000 Dan Proctor Dr, St Mary's, GA 31558-3810 |
| Kathleen Byington Malone | Diagnostic Radiology | Imaging Associates of Georgia LLC | 2000 Dan Proctor Dr, Saint Marys, GA 31558-3810 |
| Hillary W Williams | Diagnostic Radiology | Frederica Imaging PC | 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 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Michelle Gomez | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 201 B Lakeshore Point, St Mary's, GA 31558 |
| Scott Thomas Miles | Addiction Medicine | 5155 Ga Hwy 40 E, St Marys, GA 31558 | |
| Angela D Johnson | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 201 B Lakeshore Point, St Mary's, GA 31558 |
| Paulette Kropf | Pediatric Medicine | University of Florida Jacksonville Physicians, Inc. | 201 B Lakeshore Point, St Mary's, GA 31558 |
| Angelito B Lacanilao | Family Medicine | 340 Charlie Smith Sr Hwy, Saint Marys, GA 31558-3101 | |
| James Shields | Anesthesiology | Physicians Group Services Pa | 309 Arnow Dr, Saint Marys, GA 31558-3176 |
| Roberta Lindau | Clinical Social Worker | Cumberland Health Services, Inc | 10545 Colerain Rd, Saint Marys, GA 31558-3720 |
| Norman A Lemieux | Clinical Social Worker | Cumberland Health Services, Inc | 10545 Colerain Rd, Saint Marys, GA 31558-3720 |
| Ellinor Burke | Psychologist, Clinical | Cumberland Health Services, Inc | 10545 Colerain Rd, Saint Marys, GA 31558-3720 |
| Joshua B Woodin | Physician Assistant | Urgent Care of Coastal Georgia | 214 Professional Cir, Suite A, Saint Marys, GA 31558-3783 |
| Find all physicians in zip 31558 | |||
| City | SAINT MARYS |
| Zip Code | 31558 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | SAINT MARYS + 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.