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

Dr. Kevin Neely Blackmon, MD

Individual provider Diagnostic Radiology Physician · NPI 1679700140

Dr. Kevin Neely Blackmon, MD is an Interventional Radiology in Greenville, South Carolina. Graduated from Medical University of South Carolina College of Medicine in 2009, 17 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
17
Trained at
Medical University of South Carolina College of Medicine
Licensed in
SC
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1210 W Faris Rd
Greenville, SC 29605
Phone: (864) 522-1800
Fax: (864) 522-1806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 169 Ashley Ave, Charleston, SC 29425-8905 — (843) 792-2575
  • 169 Ashley Ave, Charleston, SC 29425-8905 — (843) 792-2575
  • 1519 Marion St, Columbia, SC 29201-2910 — (803) 296-5954

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 31776 (SC)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 2031776 (SC)

Record details

NPI number1679700140
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 11, 2009
Last updated in NPPESDecember 6, 2021
Certification dateDecember 6, 2021

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL RADIOLOGY
Also practisesDIAGNOSTIC RADIOLOGY
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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