Bobby Blackmon , PA
Physician Assistant • Rockledge, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Bobby Blackmon has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Bobby Blackmon, PA was a registered Physician Assistant practicing in Rockledge, FL. Throughout an active medical career spanning 17 years, Bobby Blackmon provided care at the practice location at 110 LONGWOOD AVE until profile deactivation on 2022-12-13.
Practice Location & Contact Primary Location
110 Longwood Ave
Rockledge, FL 329552828
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in Rockledge, FL
Practicing in Rockledge, FL (10376 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Emergency Medicine
Doctor of Medicine (M.D.)
Emergency Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant
Emergency Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant
Emergency Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 13, 2022
NPI status registered as active in NPPES database
Registered at 110 LONGWOOD AVE, ROCKLEDGE, FL 329552828 (Tel: 8004768646)
Registered at PO BOX 30731, TAMPA, FL 336303731 (Tel: 8004768646)
Recorded as BOBBY BLACKMON, PA
Physician Assistant (License #PA2052 in FL)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
Sign in to leave a review for Bobby Blackmon
Only verified registered users can submit ratings, post feedback, and upload facility photos.
NPI Administrative Meta
Mailing Address
Po Box 30731
Tampa, FL 336303731
Phone: 8004768646
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.