Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Kelly Costello Blackmon, APRN
Nurse Practitioner in Waycross, GA · enumerated 2014.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1992110688
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Registry record
Entity type Individual (Type 1)
Name Kelly Costello Blackmon
Credential APRN
Sex Female
Practice address 1706 Alice St, Waycross, GA, 31501
Phone (912) 285-1140
Fax (912) 285-1125
Enumeration date Jun 22, 2014
Last updated in NPPES Oct 15, 2025
Taxonomy & licenses
363LA2100X Acute Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License APRN-NP124057 (GA) Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License APRN-NP124057 (GA) Primary
APRN · Advanced Practice Registered Nurse: An umbrella credential covering NPs, CRNAs, CNMs, and clinical nurse specialists.
About the APRN credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003154267A | Medicaid | GA | - |
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.
Frequently asked questions
How do I verify Kelly Blackmon's NPI record?
Cross-check NPI 1992110688 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1992110688 active?
Yes, as of the latest NPPES snapshot, NPI 1992110688 is active (record last updated 2025-10-15).
Other providers at this practice address
Browse all → Barjinder Singh MD PC Hematology & Oncology Physician · Waycross, GA NPI 1932306859 Jawad Sheqwara Hematology & Oncology Physician · Waycross, GA NPI 1285881201 Tiffany Harkleroad Family Nurse Practitioner · Waycross, GA NPI 1174172142 Jamie Coleman Family Nurse Practitioner · Waycross, GA NPI 1114758273 American Oncology Partners, P.A. Hematology & Oncology Physician · Waycross, GA NPI 1083503171 Josselynn Mallard Medical Physician Assistant · Waycross, GA NPI 1053286146 Kayla Aldridge Family Nurse Practitioner · Waycross, GA NPI 1063352052
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-15.