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

Kelly Costello Blackmon, APRN

Individual provider Acute Care Nurse Practitioner · NPI 1992110688

Kelly Costello Blackmon, APRN is a Nurse Practitioner in Waycross, Georgia. Qualified in 2014, 12 years ago. Practices with American Oncology Partners PA, a 383-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
12
Licensed in
GA
In the registry since
2014
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

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Practice location Address checks out

1706 Alice St
Waycross, GA 31501-5216
Phone: (912) 285-1140
Fax: (912) 285-1125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2409 N. Patterson Street, Valdosta, GA 31602-2512 — (229) 259-4369

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN-NP124057 (GA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence APRN-NP124057 (GA)

Record details

NPI number1992110688
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJune 22, 2014
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice American Oncology Partners Pa — 383 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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 patients102
Services billed 251 a service is one billed item, such as a visit, a test or a procedure
Average patient age79

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.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $268 7 payments · a meal or drink at a meeting or visit, not a fee
Education $150 2 payments · educational material or training, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Memorial Satilla Health Hospital · Waycross, GA

Colleagues at American Oncology Partners PA

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 383 clinicians in the practice; 12 are shown here.

Other providers in Waycross