Kelly Costello Blackmon, APRN
Nurse Practitioner · Waycross, GA
Kelly Costello Blackmon, APRN is a nurse practitioner with a practice address in Waycross, Georgia, and NPI 1992110688, issued on Jun 22, 2014. Check the license (Georgia APRN-NP124057, as entered in NPPES) with the Georgia board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kelly Costello Blackmon
- Credential
- APRN
- Primary taxonomy
- Nurse Practitioner 363L00000X
- License number
- APRN-NP124057 GA
Self-reported in NPPES; status is on the state search - Practice location
- 1706 Alice St, Waycross, GA 31501
- Phone
- (912) 285-1140
- Enumerated
- Jun 22, 2014
- Record last updated
- Oct 15, 2025
- Fax
- (912) 285-1125
- Medicaid ID
- 003154267A GA
- Medicare enrollment
- Enrolled (PECOS I20150401001028); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 1706 Alice St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Kayla Aldridge, FNP-CFamily Nurse Practitioner1063352052
- Jamie Coleman, FNP-BCFamily Nurse Practitioner1114758273
- Tiffany Harkleroad, NPFamily Nurse Practitioner1174172142
- Josselynn Mallard, PA-CMedical Physician Assistant1053286146
- Jawad Sheqwara, M.DHematology & Oncology Physician1285881201
Verify Kelly Costello 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 APRN-NP124057Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
69% fewer Medicare Part D claims than the average nurse practitioner in 2024
348 Medicare Part D claims for 65 beneficiaries, against an average of 1,109 among the 54,319 providers of this specialty who prescribed in Part D. Brand-name drugs were 9% of claims. 11 claims were for opioids.
Most prescribed
- Trazodone Hcl29 claims
- Pantoprazole Sodium28 claims
- Clopidogrel25 claims
- Metoprolol Tartrate25 claims
- Sertraline Hcl19 claims
- Prednisone14 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 90.5 of 100
The Merit-based Incentive Payment System score is reported for this clinician. 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; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $23.00
1 payment: food and beverage; the largest payer was Boston Scientific Corporation. The 38,884 providers of this specialty with any payment received $791.64 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- American Oncology Partners PAWaycross, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
27 nurse practitioner records list a practice address in Waycross
They are 27 of the 514 NPPES records with a practice address in Waycross, and 3,109 nurse practitioner records in Georgia.
All 27 in Waycross → All 3,109 in Georgia → Every provider in Waycross →
Other nurse practitioner records in Georgia
- Jaleny AbajobirMarietta, GA1710452875
- Sabina Abdullayev, FNPCumming, GA1104501113
- Janinne Abel, NPCovington, GA1427359843
- Pamela Abernathy, FNP-CDalton, GA1568554632
- Autherine Abiri, NPAustell, GA1679948525
- Sikirat AbolarinDecatur, GA1407622947
- Semhar AbrahaAugusta, GA1871156414
- Petra Abram, FNP-CLawrenceville, GA1568136505
- Iman Abukar, NPAtlanta, GA1992306815
- Alexandra Ackerman, NPNewnan, GA1669100418
Common questions
What is Kelly Costello Blackmon, APRN's NPI number?
Kelly Costello Blackmon, APRN's National Provider Identifier (NPI) is 1992110688, issued on Jun 22, 2014. An NPI identifies a provider in billing; it is not a license.
Where is Kelly Costello Blackmon, APRN located?
The NPPES record lists a practice address at 1706 Alice St, Waycross, GA, 31501. Phone: (912) 285-1140. Providers update this record themselves, so call before visiting.
How can I verify Kelly Costello Blackmon, APRN's license?
NPPES lists Georgia license number APRN-NP124057, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.
How much does Kelly Costello Blackmon, APRN prescribe under Medicare Part D?
In 2024, Kelly Costello Blackmon, APRN had 348 Medicare Part D claims for 65 beneficiaries; the average among nurse practitioner prescribers was 1,109. Part D covers Medicare prescriptions only.
What is Kelly Costello Blackmon, APRN's MIPS final score?
The 2023 MIPS final score is 90.5 of 100. 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.