Dr Micah Shawn Blackmon, MD in Newnan, GA

Dr Micah Shawn Blackmon, MD is a medicare enrolled "Urology" physician in Newnan, Georgia. He went to University Of Miami, Lm Miller School Of Medicine and graduated in 2002 and has 24 years of diverse experience with area of expertise as Urology. He is a member of the group practice Piedmont Providers Llc, Halifax Healthcare Systems Inc and his current practice location is 775 Poplar Rd, Suite 160, Newnan, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 400-4630.

Dr Micah Shawn Blackmon is licensed to practice in Georgia (license number 059045) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1588876411.

Contact Information

	Dr Micah Shawn Blackmon, MD
	775 Poplar Rd, Suite 160, Newnan, GA 30265-8300
	(770) 400-4630
	(770) 254-6069

Map and Direction

Physician's Profile

Full Name	Dr Micah Shawn Blackmon
Gender	Male
Speciality	Urology
Experience	24 Years
Location	775 Poplar Rd, Newnan, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Micah Shawn Blackmon attended and graduated from University Of Miami, Lm Miller School Of Medicine in 2002

NPI Data:

NPI Number: 1588876411
Provider Enumeration Date: 05/04/2007
Last Update Date: 10/02/2014

Medicare PECOS Information:

PECOS PAC ID: 9032203971
Enrollment ID: I20130313000448

Medical Identifiers

Medical identifiers for Dr Micah Shawn Blackmon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588876411	NPI	-	NPPES
202I348220	Other	GA	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	059045 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Piedmont Newnan Hospital, Inc	Newnan, GA	Hospital
Piedmont Fayette Hospital	Fayetteville, GA	Hospital
Halifax Health Medical Center	Daytona beach, FL	Hospital
Piedmont Hospital	Atlanta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Piedmont Providers Llc	9830082825	513
Halifax Healthcare Systems Inc	1254238090	341

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Micah Shawn Blackmon allows following entities to bill medicare on his behalf.

Entity Name	Piedmont Providers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548273592 PECOS PAC ID: 9830082825 Enrollment ID: O20040204000321

Entity Name	City Of Hope Medical Group Of Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447520333 PECOS PAC ID: 4880841212 Enrollment ID: O20120820001117

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Micah Shawn Blackmon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Micah Shawn Blackmon, MD Po Box 102321, Atlanta, GA 30368-2321 Ph: (770) 801-2500	Dr Micah Shawn Blackmon, MD 775 Poplar Rd, Suite 160, Newnan, GA 30265-8300 Ph: (770) 400-4630

Reviews and Comments

Urology Doctors in Newnan, GA

Scott W Shelfo, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 600 Celebrate Life Pkwy, Newnan, GA 30265 Phone: 770-343-7692
Jonathan Dokter, MD Urology Medicare: Medicare Enrolled Practice Location: 775 Poplar Rd Ste 160a&b, Newnan, GA 30265 Phone: 770-400-4630 Fax: 770-254-6069
Roger Chen, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 775 Poplar Rd Ste 160, Newnan, GA 30265 Phone: 770-715-5192 Fax: 706-721-2548
Bob B. Mann, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 775 Poplar Rd, Suite 160, Newnan, GA 30265 Phone: 770-470-0463 Fax: 678-423-2737
Christopher Stiles Williamson, NP Urology Medicare: Accepting Medicare Assignments Practice Location: 775 Poplar Rd Ste 160a, Newnan, GA 30265 Phone: 770-400-4630
Farhang Rabbani, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 600 Celebrate Life Pkwy, Newnan, GA 30265 Phone: 770-400-6000

Dr Micah Shawn Blackmon, MD - Medicare Urology in Newnan, GA