Individual provider Active NPI

Daisy May Black, SLP

  • Speech-Language Pathologist
  • Lillington, NC
National Provider Identifier
1629966551
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30003922 Issued in NC
Practice address
2041 NC 210 N
Lillington, NC 27546-7802
Phone
(910) 893-8181
NPI assigned
Jun 27, 2025
Last updated
May 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 30003922 NC Primary

Addresses

Primary practice location

2041 NC 210 N
Lillington, NC 27546-7802

Mailing address

2320 US Highway 70 Bus E
Smithfield, NC 27577-7790

Other practice location 1

2320 US Highway 70 Bus E
Smithfield, NC 27577-7790
Phone (919) 934-6031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250731002262 NC Practitioner - Qualified Speech Language Pathologist 2668980848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Therapeutics LTDGroup PAC ID 8921230137, 324 clinicians

Practice addresses (Care Compare)

2147 Davie Ave
Statesville, NC 28625-9200
Phone (704) 994-5065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30003922NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Therapeutics LTD Speech-Language Pathologist CurrentSince Jun 17, 2025 Accepting new patients
Comprehensive Therapeutics LTD Speech-Language Pathologist CurrentSince Jun 17, 2025 Accepting new patients

Locations

2147 Davie Ave
Statesville, NC 28625
Phone (704) 878-0123

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1750982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1629966551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 US HIGHWAY 70 BUS E",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275777790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 NC 210 N",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275467802",
            "telephone_number": "910-893-8181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2320 US Highway 70 Bus E",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "NC",
            "postal_code": "275777790",
            "country_code": "US",
            "telephone_number": "919-934-6031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "DAISY",
        "middle_name": "MAY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-27",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30003922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lillington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.