DR. MICAH SHAWN BLACKMON (MD) – Urology Physician, NPI 1588876411
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
363 UROLOGY in GA
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Provider Addresses for DR. MICAH SHAWN BLACKMON (MD)
Poplar Road, Newnan, Coweta, Georgia, United States
SUITE 160
NEWNAN, GA 302658300
Phone: (770) 400-4630
Fax: (770) 254-6069
Type: Location
PO BOX 102321
ATLANTA, GA 303682321
Phone: (770) 801-2500
Fax: (770) 803-2121
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 99 Open Payments records for all available years, with a total value of $5,372.
Total Amount is formed as General ($5,372) + Research ($0) + Ownership ($0) = $5,372.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Axonics, Inc. ($3,617).
Total Amount
$5,372
General + Research + Ownership
Payments
99
Total payment records
General Amount
$5,372
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axonics, Inc. | $3,617 |
| PROCEPT BioRobotics Corporation | $532 |
| Teleflex LLC | $275 |
| PALETTE LIFE SCIENCES, INC. | $221 |
| Sumitomo Pharma America, Inc. | $157 |
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: 2013-03-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20070921000724 | I | Urology | FL | TBD |
| I20130313000448 | I | Urology | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 677 | 494 | $0 |
| 81003 | Automated urinalysis test | 552 | 415 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 279 | 260 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 134 | 125 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 108 | 88 | $0 |
Insurance plans in this area (ZIP 30265)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| U R O L O G Y | FL | |
| Internal Medicine, Hematology/Oncology | FL | |
| Family Practice | FL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | FL | |
| - | - | |
| Emergency Medicine | FL | |
| Nurse Practitioner | TN |
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