Kelly Costello Blackmon is a Valdosta, Georgia based nurse practitioner with 10 years of experience in Acute Care. She completed her graduation in 2014. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kelly Costello Blackmon is RN124057 for Acute Care in Georgia. Her current practice location is 2409 N. Patterson Street, Suite 230, Valdosta. Patients can reach her at 229-259-4369 or can fax her at 229-433-6513. Kelly Costello Blackmon is APRN with specialization in Acute Care and her NPI number (Unique professional ID assigned by NPPES) is 1992110688. Kelly Costello Blackmon is a licensed independent practitioner and may autonomously provide care. She provides advanced nursing care across the continuum of health care services to meet the specialized physiologic and psychological needs of patients with acute, critical, and/or complex chronic health conditions. This care is continuous and comprehensive and may be provided in any setting where the patient may be found.
Complete Profile:
Kelly Costello Blackmon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Kelly Costello Blackmon
Specialization:
Acute Care Nurse Practitioner (ACNP)
Gender:
Female
Credentials:
APRN
Experience:
10+ years
Medical School Attended:
Other
Graduation Year:
2014
Accepts Medicare Assignment:
Yes
Practice Address:
2409 N. Patterson Street, Suite 230, Valdosta, Georgia, 31602-2512
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3072830058
Enrollment ID:
I20150401001028
NPI Number:
1992110688
NPI Enumeration Date:
22 Jun, 2014
NPI Last Update On:
07 Apr, 2015
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly Costello Blackmon are as mentioned below.
License Number
Specialization
State
Status
RN124057
Acute Care
Georgia
Primary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(110122)
Valdosta, GA
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Kelly Costello Blackmon is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Hospital Authority Of Valdosta And Lowndes County Georgia (1355334509)
57
Other Medical Identifiers:
Other legacy medical identifiers associated with Kelly Costello Blackmon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
003154267A
Medicaid
Georgia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kelly Costello Blackmon Po Box 0070, Valdosta, Georgia
Zip:
31603-0070
Phone Number:
229-259-4369
Fax Number:
229-433-6513
Patients can reach Kelly Costello Blackmon at 2409 N. Patterson Street, Suite 230, Valdosta, Georgia or can call to book an appointment on 229-259-4369.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.