Jordon Blackmon, PA-C
NPI 1407640725ActiveIndividual· Physician Assistant, Surgical· Lawrenceville, GA
Physician Assistant, Surgical (PA-C) in Lawrenceville, Georgia, trained at Philadelphia College of Osteopathic Medicine (class of 2024). Enrolled in Medicare as practitioner - physician assistant. Astellas Pharma US Inc was the largest of 15 companies reporting payments in 2025, $793.15 in all, mostly food and beverage.
Overview
| NPI | 1407640725 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Apr 9, 2025 |
| Last updated in NPPES | Apr 28, 2025 |
| Certified by provider | Apr 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 12984 | GA |
| Physician Assistant, Surgical | 363AS0400X | 12984 | — |
| Physician Assistant | 363A00000X | 12984 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (GA) |
|---|
Education and affiliations
| Medical school | Philadelphia College of Osteopathic Medicine |
|---|---|
| Graduation year | 2024 |
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Advanced Urology Institute of GeorgiaMarietta, GA · 54 clinicians
Hospital affiliations
- Piedmont Eastside Medical CenterSnellville, GA
- Piedmont Rockdale HospitalConyers, GA
Industry payments (Open Payments)
- 2025$793.15 · 32 payments from 15 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astellas Pharma US Inc | $124.48 | 3 |
| Teleflex LLC | $99.53 | 3 |
| Bayer Healthcare Pharmaceuticals Inc. | $94.45 | 4 |
| Endo USA, Inc. | $80.54 | 4 |
| Urogen Pharma, Inc. | $74.20 | 3 |
What the 2025 payments were for
- Food and Beverage$725.15 · 31 payments
- Education$68.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant, Surgical providers in Lawrenceville
- 1891241758
- 1033824032
- 1568033348
- 1144469552
- 1699056945
- 1639226178
- 1720212566
- 1346937281
- 1538783725
- 1124157441
- 1780675041
- 1518312891