Jordon Blackmon, PA-C
Surgical Physician Assistant · Lawrenceville, GA
Jordon Blackmon, PA-C is a surgical physician assistant with a practice address in Lawrenceville, Georgia, and NPI 1407640725, issued on Apr 9, 2025. Check the license (Georgia 12984, as entered in NPPES) with the Georgia board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jordon Blackmon
- Credential
- PA-C
- Primary taxonomy
- Surgical Physician Assistant 363AS0400X
- License number
- 12984 GA
Self-reported in NPPES; status is on the state search - Practice location
- 501 Crown Pointe Way, Lawrenceville, GA 30046
- Phone
- (678) 344-8900
- Enumerated
- Apr 9, 2025
- Record last updated
- Apr 28, 2025
- Medicare enrollment
- Enrolled (PECOS I20250429002094); accepts Medicare assignment
- Medical or professional school
- Philadelphia College Of Osteopathic Medicine, 2024
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest surgical physician assistant records → All 531 in Georgia → Look up another NPI →
Also registered at 501 Crown Pointe Way
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Ian Thomas, PASurgical Physician Assistant1164006615
Verify Jordon Blackmon in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Georgia board licenses this profession
Search for license 12984Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Advanced Urology Institute OF GeorgiaConyers, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jordon Blackmon among 531 surgical physician assistant records in Georgia
Jordon Blackmon, PA-C is one of 531 surgical physician assistant records with a practice address in Georgia. 63% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2025, is newer than 96% of them.
- NPI issued2025 · 96% of these records are older, 2% newer
- In a Medicare fileYes · 63% of these records are
- In the CMS Doctors and Clinicians fileYes · 52% of these records are
- Graduated2024 · median 2014 among the 276 with a school on file
- Record last updated2025 · 55% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AS0400X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgical Physician Assistant providers in Georgia
There are 531 surgical physician assistant records in Georgia.
All 531 in Georgia → Every provider in Lawrenceville → Surgical Physician Assistant nationwide →
The 8 surgical physician assistant records with the nearest ZIP codes
- Richard Benefield, PA-CLawrenceville, GA 300461144469552
- Claudette Bryant, PALawrenceville, GA 300461699056945
- John Chandler, PALawrenceville, GA 300461639226178
- David Conn, PA-CLawrenceville, GA 300461164099958
- Ashley Croker, PA-CLawrenceville, GA 300461720212566
- Amy Cunha, PA-CLawrenceville, GA 300461538783725
- Richard Heimbecker, P.A.-CLawrenceville, GA 300461124157441
- Lauren Johnson, MSPA, PA-CLawrenceville, GA 300461518312891
Common questions
What is Jordon Blackmon, PA-C's NPI number?
Jordon Blackmon, PA-C's National Provider Identifier (NPI) is 1407640725, issued on Apr 9, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Jordon Blackmon, PA-C located?
The NPPES record lists a practice address at 501 Crown Pointe Way, Lawrenceville, GA, 30046. Phone: (678) 344-8900. Providers update this record themselves, so call before visiting.
How can I verify Jordon Blackmon, PA-C's license?
NPPES lists Georgia license number 12984, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.
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.