John G Black, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

8343 Issued in SC

Practice address

146 N Hospital Drive
Suite 530
West Columbia, SC 29169-4894

Phone

(803) 796-7270

Fax

(803) 796-0106

NPI assigned

Jul 25, 2006

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1669495255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 N HOSPITAL DRIVE",
            "address_2": "SUITE 530",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694894",
            "telephone_number": "803-796-7270",
            "fax_number": "803-796-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 N HOSPITAL DRIVE",
            "address_2": "SUITE 530",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694894",
            "telephone_number": "803-796-7270",
            "fax_number": "803-796-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "JOHN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "8343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083439",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Harold Bingham III, M.D.
• Bio-Medical Applications of South Carolina, Inc.
• Patricia Bisceglia
• Victoria Bishop, FNP-BC
• Bjrsc, Inc
• Nicholas Blackburn, PTA
• Ashlin Blackmon
• Melissa Michelle Blackmon, NP-C
• Rhonda Marcale Blackmon, LPN
• Heather Michelle Blake

• Internal Medicine Physician in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.