DR. DEMETRIOUS J. BLACKMON (M.D.) – Nephrology Physician, NPI 1578592994
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
431 NEPHROLOGY in GA
Provider Addresses for DR. DEMETRIOUS J. BLACKMON (M.D.)
Village Center Parkway, Stockbridge, Henry County, Georgia, United States
SUITE 100
STOCKBRIDGE, GA 302819104
Phone: (678) 289-0508
Fax: (678) 289-0124
Type: Mailing
250 VILLAGE CENTER PWKY
SUITE 100
STOCKBRIDGE, GA 302819044
Phone: (678) 289-0508
Fax: (678) 289-0124
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $924.
Total Amount is formed as General ($924) + Research ($0) + Ownership ($0) = $924.
Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Medtronic, Inc. ($823).
Total Amount
$924
General + Research + Ownership
Payments
8
Total payment records
General Amount
$924
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $823 |
| Baxter Healthcare | $81 |
| ViiV Healthcare Company | $17 |
| Travere Therapeutics, Inc. | $3 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-05-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080520000248 | I | Nephrology | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30281)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEPHROLOGY | GA | 90935 | Hemodialysis procedure with one physician evaluation | 63 | 53 |
| NEPHROLOGY | GA | 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 69 | 36 |
| NEPHROLOGY | GA | 90966 | Home dialysis services per month, patient 20 years of age or older | 169 | 39 |
Reviews
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