Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Micah Shawn Blackmon, MD

Urology Physician in Newnan, GA · enumerated 2007.

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

National Provider Identifier

1588876411

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Registry record

Entity type Individual (Type 1)

Name Dr. Micah Shawn Blackmon

Credential MD

Sex Male

Practice address 775 Poplar Rd, Suite 160, Newnan, GA, 30265

Phone (770) 400-4630

Fax (770) 254-6069

Enumeration date May 4, 2007

Last updated in NPPES Oct 2, 2014

Taxonomy & licenses

208800000X Urology Physician Allopathic & Osteopathic Physicians · License 059045 (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
202I348220	Other	GA	MEDICARE PTAN

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.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Micah Blackmon practice?

The practice location on file with NPPES is in Newnan, GA. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Micah Blackmon?

The National Provider Identifier (NPI) for Micah Blackmon is 1588876411, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-10-02.