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DR. KEVIN NEELY BLACKMON M.D. NPI 1679700140


NPI Information

NPI: 1679700140
Provider Name: DR. KEVIN NEELY BLACKMON, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: PRISMA HEALTH UNIVERSITY MEDICAL GROUP

PECOS Registration: Yes

Address:
1210 W FARIS RD
GREENVILLE, SC
ZIP 29605
Phone: (864) 522-1800
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DR. Kevin Neely Blackmon, M.D. is a diagnostic radiology radiology in Greenville, SC with 15 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Kevin Neely Blackmon, M.D. NPI is 1679700140. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:2009

The provider's business location address is:

1210 W FARIS RD
GREENVILLE, SC
ZIP 29605
Phone: (864) 522-1800
Fax: (864) 522-1806

The NPI 1679700140 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view, front (HCPCS:71010)
  • CT scan of abdomen and pelvis (HCPCS:74176)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • CT scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Fluoroscopic guidance for insertion, replacement or removal of central venous access device (HCPCS:77001)
  • Ultrasound guidance for accessing into blood vessel (HCPCS:76937)
  • X-ray of abdomen, single view (HCPCS:74000)
  • Ultrasound of head and neck (HCPCS:76536)
  • X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)

The enumeration date for this NPI number is 6/11/2009 and was last updated on 12/6/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology31776SOUTH CAROLINAYes
22085R0204XRadiologyVascular & Interventional Radiology2031776SOUTH CAROLINANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1317767MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.