Active NPI
James Franklin Black, M.D.
- Specialist
- Lexington, NC
National Provider Identifier
1184600314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 20769
- 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, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8915864 | Medicaid | NC |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090612000479 | NC | Practitioner - Obstetrics/Gynecology | 5698825685 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest University Health Sciences | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Multi-Specialty Clinic/Center
- Lexington, NC
- NPI 1639454499
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.