Billy Jacob Blackmon, MD
Diagnostic Radiology Physician · Saint Simons Island, GA
Billy Jacob Blackmon, MD is a diagnostic radiology physician with a practice address in Saint Simons Island, Georgia, and NPI 1215058110, issued on Apr 2, 2007. Check the license (Georgia 001196, as entered in NPPES) on the Georgia Composite Medical Board; the Medicare figures below come from public CMS files.
- Name
- Billy Jacob Blackmon
- Credential
- MD
- Primary taxonomy
- Diagnostic Radiology Physician 2085R0202X
- License numbers
- 001196 GA
DR.0058928 CO
35.094883 OH
Self-reported in NPPES; status is on the state search - Practice location
- 154 Rosemont St, Saint Simons Island, GA 31522
- Phone
- (912) 580-8162
- Enumerated
- Apr 2, 2007
- Record last updated
- Jul 21, 2022
- Medicare enrollment
- Enrolled (PECOS I20100831000519); accepts Medicare assignment
- Medical or professional school
- Medical College Of Georgia School Of Medicine, 2005
- Entity
- Type 1 · individual
8 nearest diagnostic radiology physician records → All 1,065 in Georgia → Look up another NPI →
Verify Billy Jacob Blackmon in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersGeorgia Composite Medical Board
Search for license 001196Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 77 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through 2 group practices
- Mori Bean And Brooks IncSaint Simons Island, GA
- Prodocs LLCMadison, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Billy Jacob Blackmon among 1,065 diagnostic radiology physician records in Georgia
Billy Jacob Blackmon, MD is one of 1,065 diagnostic radiology physician records with a practice address in Georgia. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 53% of them.
- NPI issued2007 · 53% of these records are older, 38% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 70% of these records are
- Graduated2005 · median 2004 among the 742 with a school on file
- Record last updated2022 · 59% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2085R0202X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
1 diagnostic radiology physician record lists a practice address in Saint Simons Island
They are 1 of the 83 NPPES records with a practice address in Saint Simons Island, and 1,065 diagnostic radiology physician records in Georgia.
All 1,065 in Georgia → Every provider in Saint Simons Island → Diagnostic Radiology Physician nationwide →
The 8 diagnostic radiology physician records with the nearest ZIP codes
- James Conlan, MDBrunswick, GA 315201477543312
- Kathleen Malone, D.O.Brunswick, GA 315201730312844
- Adriana Rodriguez, MDBrunswick, GA 315201659361590
- Joshua SmithBaxley, GA 315131649485160
- Nirandr Inthachak, M.D.Douglas, GA 315331013900489
- Somnuk Pow-Anpongkul, M.D.Douglas, GA 315331053304428
- John Akridge, M.D.Waycross, GA 315031083609788
- Howard Griffin, MDWaycross, GA 315011669467122
Common questions
What is Billy Jacob Blackmon, MD's NPI number?
Billy Jacob Blackmon, MD's National Provider Identifier (NPI) is 1215058110, issued on Apr 2, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Billy Jacob Blackmon, MD located?
The NPPES record lists a practice address at 154 Rosemont St, Saint Simons Island, GA, 31522. Phone: (912) 580-8162. Providers update this record themselves, so call before visiting.
How can I verify Billy Jacob Blackmon, MD's license?
NPPES lists Georgia license number 001196, as entered by the provider. Search the Georgia Composite Medical Board at https://medicalboard.georgia.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
What is Billy Jacob Blackmon, MD's MIPS final score?
The 2023 MIPS final score is 77 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.