Active NPI
Linda S Black, MD
- Neonatal-Perinatal Medicine Physician
- Atlanta, GA
National Provider Identifier
1396777991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 041079
- Practice address
- 2015 Upper Gate Dr NE
Atlanta, GA 30322-1014 - Phone
- (404) 727-3360
- Fax
- (404) 727-3237
- NPI assigned
- Jul 6, 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 |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 041079 | GA | Primary |
Addresses
Primary practice location
2015 Upper Gate Dr NE
Atlanta, GA 30322-1014
Mailing address
2015 Uppergate Dr
Atlanta, GA 30322
Phone (404) 727-3360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 499210 | Other | GA | BCBS |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041079 | GA | MD | Neonatal-Perinatal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396777991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 UPPERGATE DR",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30322",
"telephone_number": "404-727-3360",
"fax_number": "404-727-3237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 UPPER GATE DR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221014",
"telephone_number": "404-727-3360",
"fax_number": "404-727-3237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACK",
"first_name": "LINDA",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "GA",
"license": "041079",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "499210",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.