Individual provider Active NPI

Steven Edward Black, M.D.

  • Diagnostic Radiology Physician
  • Gainesville, GA
National Provider Identifier
1609808369
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
045727 Issued in GA
Practice address
200 W Academy Street
Gainesville, GA 30501
Phone
(770) 282-8820
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 045727 GA
Diagnostic Radiology Physician 2085R0202X 81682 MN
Diagnostic Radiology Physician 2085R0202X MD-56577 IA
Diagnostic Radiology Physician 2085R0202X 045727 GA Primary
Vascular & Interventional Radiology Physician 2085R0204X MD-56577 IA
Diagnostic Radiology Physician 2085R0202X 28903 NV

Addresses

Primary practice location

200 W Academy Street
Gainesville, GA 30501

Mailing address

PO Box 2417
Gainesville, GA 30503-2417
Phone (770) 532-9936

Other practice location 1

1604 Gunbarrel Rd
Chattanooga, TN 37421-3125
Phone (423) 893-7226

Other practice location 2

500 E Market St
Iowa City, IA 52245-2633
Phone (319) 339-3551

Other practice location 3

743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 219-9000

Other practice location 4

2300 Opitz Blvd
Woodbridge, VA 22191-3311
Phone (703) 523-0611

Other practice location 5

1250 Jesse Jewell Pkwy SE
Ste. 500
Gainesville, GA 30501-3871
Phone (770) 532-9936

Other identifiers 4

IdentifierTypeStateIssuer
000798971GMedicaidGA
000798971KMedicaidGA
P00332154OtherGARAILROAD MEDICARE
581177261AOtherGAMEDICARE GRP PROV #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA, NM, MA, SC, TX, IA, CT, WY, WI, IL, NV12 enrollments
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 12

Enrollment IDStateProvider typePAC IDDetails
I20050322000326 TN Practitioner - Diagnostic Radiology 1951356583 Reassigns benefits to 4 organizations
I20060816000263 GA Practitioner - Diagnostic RadiologyPractitioner - Nuclear MedicinePractitioner - Interventional Radiology 1951356583 Reassigns benefits to 16 organizations
I20251216000352 NM Practitioner - Diagnostic Radiology 1951356583 Reassigns benefits to 3 organizations
I20251230003274 MA Practitioner - Diagnostic Radiology 1951356583 Reassigns benefits to 3 organizations
I20260226001731 SC Practitioner - Diagnostic Radiology 1951356583 Reassigns benefits to 1 organization
I20260303002960 TX Practitioner - Diagnostic Radiology 1951356583 Reassigns benefits to 2 organizations
I20260317002759 IA Practitioner - Diagnostic Radiology 1951356583 Reassigns benefits to 3 organizations
I20260401000852 CT Practitioner - Diagnostic Radiology 1951356583 Reassigns benefits to 1 organization
I20260408002505 WY Practitioner - Diagnostic Radiology 1951356583 Reassigns benefits to 2 organizations
I20260513001436 WI Practitioner - Diagnostic Radiology 1951356583 Reassigns benefits to 2 organizations
I20260604002159 IL Practitioner - Diagnostic Radiology 1951356583 Reassigns benefits to 1 organization
I20260624002332 NV Practitioner - Diagnostic Radiology 1951356583

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Tennessee, HSC, College of Medicine, 1990
Medicare assignment
May accept Medicare assignment
Group practices
Hegg Memorial HospitalGroup PAC ID 5193718757, 44 clinicians
Gainesville Radiology Group PCGroup PAC ID 9335046382, 65 clinicians
Memorial Hospital of Sheridan CountyGroup PAC ID 2163405440, 90 clinicians
Big Horn Health NetworkGroup PAC ID 1254476484, 84 clinicians
Otero County Hospital AssociationGroup PAC ID 3173516606, 245 clinicians
Battlefield Imaging LLCGroup PAC ID 8123014677, 15 clinicians
Allen Memorial Hospital CorporationGroup PAC ID 4284546045, 149 clinicians
Holyoke Medical Center IncGroup PAC ID 2163419383, shared by 3 NPIs, 202 clinicians
Comprehensive Radiology Services PLLCGroup PAC ID 1759364946, 50 clinicians
Diagnostic Radiology PCGroup PAC ID 2264491570, 65 clinicians
Mahaska County HospitalGroup PAC ID 2769388677, 128 clinicians
Southeast Iowa Regional Medical Center IncGroup PAC ID 3870496417, 259 clinicians
KND Development 59 LLCGroup PAC ID 3678602802, 176 clinicians
Northeast Georgia Physicians Group IncGroup PAC ID 6901898386, 884 clinicians

Practice addresses (Care Compare)

1202 21St Ave
Rock Valley, IA 51247-1420
Phone (712) 476-8000

1400 River PL
Braselton, GA 30517-5600
Phone (770) 219-9000

1401 W 5TH St
Sheridan, WY 82801-2705
Phone (307) 672-1000

1470 Sugarland Dr
Suite 1
Sheridan, WY 82801-5774
Phone (307) 673-2411

1921 Stonecipher Dr
Ada, OK 74820-3439
Phone (580) 436-3980

227 Mountain Dr
Dahlonega, GA 30533-1606
Phone (770) 219-9000

2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (505) 439-6100

316 N Broad St
Winder, GA 30680-2150
Phone (770) 282-8820

3425 Buford Dr
Suite 100
Buford, GA 30519-8785
Phone (770) 282-8820

4632 Battlefield Pkwy
Ringgold, GA 30736-8004
Phone (423) 893-7226

535 Mask Rd
Brooks, GA 30205-2214
Phone (319) 235-3697

575 Beech St
Suite 402
Holyoke, MA 01040-2223
Phone (483) 535-4889

6211 Grand Marina Cir
Gainesville, GA 30506-7805
Phone (601) 288-7000

700 High St NE
Albuquerque, NM 87102-2565
Phone (502) 596-7358

743 Spring Nest
Gainesville, GA 30501-3715
Phone (770) 219-6000

743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 535-3553

Hospital & facility affiliations

  • Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029
  • Northeast Georgia Medical Center Habersham Hospital, Demorest, GA, CCN 110041
  • NGMC Barrow, LLC Hospital, Winder, GA, CCN 110045
  • Southeast Iowa Regional Medical Center Hospital, West Burlington, IA, CCN 160057
  • Northeast Georgia Medical Center Lumpkin Hospital, Dahlonega, GA, CCN 110237

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Allen Memorial Hospital Corporation CurrentSince Mar 1, 2026 Accepting new patients
Diagnostic Radiology PC Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients
Western Mass Physician Associates Inc CurrentSince Dec 1, 2025 Accepting new patients
Cibola General Hospital Corporation CurrentSince Nov 19, 2025 Accepting new patients
Hansford County Hospital District CurrentSince Feb 26, 2026 Accepting new patients
Otero County Hospital Association CurrentSince Jan 1, 2026 Accepting new patients
Tennessee Medical Imaging, P.C. Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
Prime Imaging, LLC Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Avera McKennan Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Holyoke Medical Center, Inc. CurrentSince Dec 1, 2025 Accepting new patients
East Cooper Physician Group LLC CurrentSince Jan 19, 2026 Accepting new patients
East Cooper Physician Group LLC CurrentSince Jan 19, 2026 Accepting new patients
Holyoke Medical Center, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Chickasaw Nation Division of Health CurrentSince Apr 1, 2026 Accepting new patients
Hegg Memorial Hospital CurrentSince Mar 1, 2026 Accepting new patients
Northeast Georgia Physicians Group Inc Family Medicine CurrentSince Oct 30, 2025 Accepting new patients
Battlefield Imaging LLC Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Diagnostic Radiology Consultants PA Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Western Mass Physician Associates Inc CurrentSince Dec 1, 2025 Accepting new patients
Reliant Medical Group, Inc Family Medicine CurrentSince Dec 1, 2025 Accepting new patients
Chickasaw Nation Division of Health CurrentSince Apr 1, 2026 Accepting new patients
Otero County Hospital Association CurrentSince Jan 1, 2026 Accepting new patients
Hansford County Hospital District CurrentSince Feb 26, 2026 Accepting new patients
Allen Memorial Hospital Corporation Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients
X-Ray Associates of New Mexico PC Diagnostic Radiology CurrentSince Nov 1, 2025 Accepting new patients
Hegg Memorial Hospital Family Medicine CurrentSince Mar 1, 2026 Accepting new patients
Gainesville Radiology Group, PC Diagnostic Radiology CurrentSince Aug 1, 2006 Accepting new patients
Vista Radiology, PC. Diagnostic Radiology CurrentSince Sep 25, 2025 Accepting new patients
Hegg Memorial Hospital Family Medicine CurrentSince Mar 1, 2026 Accepting new patients
Radcare of Tennessee PC Diagnostic Radiology Past Accepting new patients
F&S Radiology, P.C. Diagnostic Radiology Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Franklin & Seidelmann Inc Diagnostic Radiology Past Accepting new patients
Northeast Georgia Medical Center, Inc. Past Accepting new patients

Locations (25 of 51)

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000

1524 River Pl
Ste 100
Braselton, GA 30517
Phone (770) 532-7092

3425 Buford Dr
Ste 100
Buford, GA 30519
Phone (678) 765-6060

495 Highway 400
Dahlonega, GA 30533
Phone (469) 757-1107

227 Mountain Dr
Dahlonega, GA 30533
Phone (706) 864-6136

108 Prominence Ct
Ste 120
Dawsonville, GA 30534
Phone (706) 344-6944

541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000

100 Gross Crescent Cir
Ft Oglethorpe, GA 30742
Phone (706) 858-2301

535 Jesse Jewell Pkwy SE
Ste A
Gainesville, GA 30501
Phone (770) 534-9729

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

200 W Academy St NW
Gainesville, GA 30501
Phone (770) 800-0041

725 Jesse Jewell Pkwy SE
Ste 360
Gainesville, GA 30501
Phone (770) 539-9391

3137 Frontage Rd
Gainesville, GA 30504
Phone (770) 219-0500

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

1250 Jesse Jewell Pkwy SE
Ste 500
Gainesville, GA 30501
Phone (770) 531-2444

4632 Battlefield Pkwy
Ringgold, GA 30736
Phone (706) 806-0170

4700 Battlefield Pkwy
Ste 100
Ringgold, GA 30736
Phone (706) 806-0170

316 N Broad St
Winder, GA 30680
Phone (770) 307-5354

316 N Broad St
Ste 230
Winder, GA 30680

1202 21st Ave
Rock Valley, IA 51247
Phone (712) 476-8000

262 New Ludlow Rd
Chicopee, MA 01020
Phone (413) 535-4714

575 Beech St
Ste 402
Holyoke, MA 01040
Phone (413) 534-2820

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

575 Beech St
Ste 404
Holyoke, MA 01040
Phone (413) 534-2870

Organizations & group practices 50

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.

View all 50

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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": "1786320000000",
    "number": "1609808369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2417",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305032417",
            "telephone_number": "770-532-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ACADEMY STREET",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30501",
            "telephone_number": "770-282-8820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1604 Gunbarrel Rd",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374213125",
            "country_code": "US",
            "telephone_number": "423-893-7226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 E Market St",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522452633",
            "country_code": "US",
            "telephone_number": "319-339-3551",
            "fax_number": "319-248-7945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "743 Spring St NE",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013715",
            "country_code": "US",
            "telephone_number": "770-219-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Opitz Blvd",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221913311",
            "country_code": "US",
            "telephone_number": "703-523-0611",
            "fax_number": "703-670-2089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 Jesse Jewell Pkwy SE",
            "address_2": "Ste. 500",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013871",
            "country_code": "US",
            "telephone_number": "770-532-9936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "STEVEN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "GA",
            "license": "045727",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "81682",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "MD-56577",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "045727",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IA",
            "license": "MD-56577",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "28903",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000798971G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000798971K",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00332154",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GRP PROV #",
            "identifier": "581177261A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.