Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Billy Jacob Blackmon, MD

Individual provider Diagnostic Radiology Physician · NPI 1215058110

Billy Jacob Blackmon, MD is a Diagnostic Radiology in Saint Simons Island, Georgia. Graduated from Medical College of Georgia School of Medicine in 2005, 21 years ago. Practices with Mori Bean and Brooks Inc, a 976-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado, Georgia and Ohio.

Years since qualifying
21
Trained at
Medical College of Georgia School of Medicine
Licensed in
CO, GA, OH
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

154 Rosemont St
Saint Simons Island, GA 31522-1777
Phone: (912) 580-8162
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 234 Goodman St, Cincinnati, OH 45219-2364 — (513) 584-7355

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 001196 (GA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence DR.0058928 (CO)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 35.094883 (OH)

Record details

NPI number1215058110
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2007
Last updated in NPPESJuly 21, 2022
Mailing address154 Rosemont St, Saint Simons Island, GA 31522-1777

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Mori Bean And Brooks Inc — 976 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Saint Simons Island