Jason Allen Black, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-11416 Issued in NC

Practice address

1 Hospital Dr
Suite 4200
Asheville, NC 28801-4500

Phone

(828) 213-1994

Fax

(828) 213-1992

NPI assigned

Oct 12, 2015

Last updated

Feb 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

90.39 of 100Reported as apm

Quality

77.7

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1306217740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745319",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743366",
            "telephone_number": "615-373-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "address_2": "SUITE 4200",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014500",
            "telephone_number": "828-213-1994",
            "fax_number": "828-213-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "JASON",
        "middle_name": "ALLEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-12",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSOCIATE",
            "identifier": "1306217740",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelby Melvin Bjorlie, MA CCC SLP
• BK Foundations LLC
• Black Bear Physical Therapy
• Benjamin Keith Black, D.D.S., M.S.
• Iris Delia Black, RN
• Martin L Black, M.D.
• Andrew James Blackburn, PAC
• Meredith June Blackburn, PHD
• Robert Jackson Blackburn Jr., DMD
• Gabriella Catherine Blackmon, MSW/ PENDING LCSW-A

• Physician Assistant in Asheville, NC
• Providers in Asheville, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.