Individual provider Active NPI

James Franklin Black, M.D.

  • Specialist
  • Lexington, NC
National Provider Identifier
1184600314
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
20769 Issued in NC
Practice address
106 W Medical Park Dr
Suite B
Lexington, NC 27292-6853
Phone
(336) 243-3034
Fax
(336) 243-7098
NPI assigned
Dec 20, 2005
Last updated
Feb 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 20769 NC Primary

Addresses

Primary practice location

106 W Medical Park Dr
Suite B
Lexington, NC 27292-6853

Mailing address

106 W Medical Park Dr., Suite B
Wfuhs - Lexmedical GYN Care
Lexington, NC 27292-6845
Phone (336) 243-3034

Other identifiers 1

IdentifierTypeStateIssuer
8915864MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090612000479 NC Practitioner - Obstetrics/Gynecology 5698825685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jblack249218@direct.ochin.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1184600314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W MEDICAL PARK DR., SUITE B",
            "address_2": "WFUHS - LEXMEDICAL GYN CARE",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272926845",
            "telephone_number": "336-243-3034",
            "fax_number": "336-243-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W MEDICAL PARK DR",
            "address_2": "SUITE B",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272926853",
            "telephone_number": "336-243-3034",
            "fax_number": "336-243-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "JAMES",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "20769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8915864",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, NC

Sources for this page

Verify at the official NPI Registry.