Active NPI
Holly Hood Black, NP
- Family Nurse Practitioner
- Greensboro, NC
National Provider Identifier
1396719530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 900420
- Practice address
- 509 N Elam Ave
2ND Floor
Greensboro, NC 27403-1118 - Phone
- (336) 274-1114
- Fax
- (336) 232-5326
- NPI assigned
- Feb 15, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 900420 | NC | Primary |
Addresses
Primary practice location
509 N Elam Ave
2ND Floor
Greensboro, NC 27403-1118
Mailing address
509 N Elam Ave FL 2
Greensboro, NC 27403-1157
Phone (336) 274-1114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 900420 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Health Care, PA | Past | Accepting new patients |
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 and National Provider Directory roles.
-
dba Laurel Creek Family Medicine, a Cornerstone Practice
- Family Medicine Physician
- Kernersville, NC
- NPI 1558613901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789603200000",
"number": "1396719530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 N ELAM AVE FL 2",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274031157",
"telephone_number": "336-274-1114",
"fax_number": "336-274-9638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 N ELAM AVE",
"address_2": "2ND FLOOR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274031118",
"telephone_number": "336-274-1114",
"fax_number": "336-232-5326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACK",
"first_name": "HOLLY",
"middle_name": "HOOD",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-15",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "900420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
- Black & Associates Global Inc (Our Home - Aunt Zola's)
- Black & Associates Global Inc (Our Home)
- Monique E Black-Singletary, PT
- Anna Leigh Black, LCSWA
- Danielle Erica Black, MSN, APRN, FNP-C
- Jacquese Olean Black, DDS
- Karen M Black, NP
- Kelly Suzanne Black, RN, IBCLC
- Jennifer M Blackburn
- Rhonda Hardin Blackburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.