Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Demetrious J. Blackmon, M.D.

Nephrology Physician in Stockbridge, GA · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1578592994

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Registry record

Entity type Individual (Type 1)

Name Dr. Demetrious J. Blackmon

Credential M.D.

Sex Male

Practice address 250 Village Center Pwky, Suite 100, Stockbridge, GA, 30281

Phone (678) 289-0508

Fax (678) 289-0124

Enumeration date Jun 30, 2006

Last updated in NPPES Mar 4, 2015

Taxonomy & licenses

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License MD38696 (TN) Secondary

207RN0300X Nephrology Physician Allopathic & Osteopathic Physicians · License 57778 (GA) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
009934159	Medicaid	AL	-
662769049A	Medicaid	GA	-
P00254515	Other	TN	RAILROAD MEDICARE
3334458	Medicaid	TN	-
4111806	Other	TN	BCBS OF TENNESSEE
662769049F	Medicaid	GA	-
3334459	Medicaid	TN	-
581365705	Other	GA	CHAMPUS
4152444	Other	TN	BLUE CROSS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Demetrious Blackmon's NPI record?

Cross-check NPI 1578592994 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1578592994 active?

Yes, as of the latest NPPES snapshot, NPI 1578592994 is active (record last updated 2015-03-04).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-03-04.