Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Lee Blackmon

Individual provider Psychiatry Physician · NPI 1417489774

Lee Blackmon practises Psychiatry in Jacksonville, Florida. Graduated from Medical University of South Carolina College of Medicine in 2017, 9 years ago. Practices with Bon Secours Medical Group Greenville Specialty Care LLC, a 289-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida, North Carolina and South Carolina.

Years since qualifying
9
Trained at
Medical University of South Carolina College of Medicine
Licensed in
FL, NC, SC
In the registry since
2017
Specialties on file
4
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Practice location Address checks out

580 W 8th St 6th Fl Ste 6005
Jacksonville, FL 32209-6533
Phone: (904) 244-3990
Fax: (904) 244-3455
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 202100603 (NC)
Psychiatry Physician Taxonomy 2084P0800X · Licence 86392 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence TRN24684 (FL)

Record details

NPI number1417489774
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 28, 2017
Last updated in NPPESSeptember 29, 2021
Certification dateSeptember 29, 2021

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Bon Secours Medical Group Greenville Specialty Care Llc — 289 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients21
Services billed 113 a service is one billed item, such as a visit, a test or a procedure
Average patient age56

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Bon Secours Medical Group Greenville Specialty Care LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 289 clinicians in the practice; 12 are shown here.

Other providers in Jacksonville