NPIMap

Individual provider Active NPI

Donald L Blackmon Jr., MD

  • Internal Medicine Physician
  • Pensacola, FL
National Provider Identifier
1992719421
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME48954 Issued in FL
Practice address
6160 N Davis Hwy
Suite 5
Pensacola, FL 32504-6994
Phone
(850) 471-2121
Fax
(850) 471-2120
NPI assigned
Jul 28, 2006
Last updated
May 28, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME48954 FL Primary

Addresses

Primary practice location

6160 N Davis Hwy
Suite 5
Pensacola, FL 32504-6994

Mailing address

6160 N Davis Hwy
Suite 5
Pensacola, FL 32504-6994
Phone (850) 471-2121

Other identifiers 2

IdentifierTypeStateIssuer
037239200MedicaidFL
17667OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical University of South Carolina College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6160 N Davis Hwy
Suite 5
Pensacola, FL 32504-6967

6160 N Davis Hwy 5
Pensacola, FL 32504-6967

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.5 of 100Reported as individual
Quality
87
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME48954FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weil Medical Group LLC CurrentSince Nov 9, 2025 Accepting new patients
Sacred Heart Health System Inc Past Accepting new patients

Locations

6160 N Davis Hwy
Ste 5
Pensacola, FL 32504
Phone (850) 471-2121

Interoperability endpoints

  • Direct secure messaging: donald.blackmon.1@13856.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1992719421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 N DAVIS HWY",
            "address_2": "SUITE 5",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046994",
            "telephone_number": "850-471-2121",
            "fax_number": "850-471-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 N DAVIS HWY",
            "address_2": "SUITE 5",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046994",
            "telephone_number": "850-471-2121",
            "fax_number": "850-471-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMON",
        "first_name": "DONALD",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME48954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037239200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "17667",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.