Individual provider · Type 1 NPI

Jordon Blackmon, PA-C

Surgical Physician Assistant · Lawrenceville, GA

NPI number 1407640725 Active

Practice location

501 Crown Pointe Way
Lawrenceville, GA 30046

Call (678) 344-8900 Map

Mailing address

1551 Janmar Rd
Snellville, GA 30078-5606

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X12984
Surgical Physician Assistant Primary 363AS0400X12984 (GA)
Physician Assistant 363A00000X12984 (GA)

Surgical Physician Assistant: Definition to come...

Another provider at this address

Other surgical physician assistant providers in Lawrenceville

See all in Lawrenceville →

About NPI 1407640725

Jordon Blackmon, PA-C's National Provider Identifier is 1407640725, issued on Apr 9, 2025. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lawrenceville, GA. The record was last updated on Apr 28, 2025.