William D Black, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

6045 Issued in TN

Practice address

939 Emerald Ave
Suite 610
Knoxville, TN 37917-4502

Phone

(865) 637-8635

Fax

(865) 637-4821

NPI assigned

Aug 11, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1811999774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 EMERALD AVE",
            "address_2": "SUITE 610",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379174502",
            "telephone_number": "865-637-8635",
            "fax_number": "865-637-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 EMERALD AVE",
            "address_2": "SUITE 610",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379174502",
            "telephone_number": "865-637-8635",
            "fax_number": "865-637-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "WILLIAM",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "6045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Lee Black, M.D.
• Olivia Black, OTR/L
• Sarah Black, PA-C
• Timothy R. Black, PA-C
• Tyler Black
• Van Tyler Blackaby, PMHNP-BC
• Blackbird Nutrition Therapy
• Bethany Wilma Wright Blackburn, MD
• Caleb Blackburn, DDS, MD
• Jacqueline Beth Blackburn, NP-C

• Specialist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.