DR. JAMES E BLACK (NPI# 1235158833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235158833 |
| Entity Type | Individual |
| Full Name | DR. JAMES E BLACK |
| Credential | MD |
| Practice Address |
5505 Roswell Rd Atlanta GA 30342 |
| Mailing Address |
811 Holly Dr Albany GA 31705-4318 |
| Practice Telephone | 9042345425 |
| Practice Fax Number | 2294329550 |
| Mailing Telephone | 9042345425 |
| Mailing Fax Number | 2294329550 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2014-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 057777 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 993056118B | 05 | |
| GA | 993056118A | 05 | |
| GA | WELLCARE | 359337 | 01 |
| GA | BCBS | 52991520-002 | 01 |
| GA | BCBS | 52991520-001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043452741 | James Clinton Black | Orthopaedic Surgery | 480 Floyd Rd Ste A, Spartanburg, SC 29307-1518 | 2009-03-27 |
| 1053558684 | James Black | Physical Therapy Assistant | 213 California Ct, Mission Viejo, CA 92692-4082 | 2009-01-20 |
| 1225234487 | James Lewis Black Jr. | Pharmacist | 2001 Crystal Spring Ave, Carilion Medical Center Phcy, Suite 110, Roanoke, VA 24014 | 2007-06-25 |
| 1790803674 | James C. Black | Psychologist | 815 W Hamlet Ave, Hamlet, NC 28345-2507 | 2007-03-27 |
| 1114088341 | James Henry Black | Psychologist | 310 N Midvale Blvd, Suite 202, Madison, WI 53705-3265 | 2006-12-12 |
| 1114095346 | James N Black | Internal Medicine | 520 Craig Ln, Villanova, PA 19085-1902 | 2006-12-04 |
| 1033297320 | James Joseph Black | Psychologist | 227 N 18th St, Philadelphia, PA 19103-1212 | 2006-11-02 |
| 1679662795 | James Dennis Black | Dentist | 1044 12th St, Tell City, IN 47586-1606 | 2006-10-12 |
| 1821000191 | James Black | Specialist | 22930 Crenshaw Blvd Ste D, Torrance, CA 90505-3048 | 2006-08-13 |
| 1073547170 | James Edward Black | Dentist | 250 East Wentworth Avenue, West St Paul, MN 55118-3525 | 2006-07-11 |
| Street Address |
5505 ROSWELL RD |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417950130 | Craig M Chebuhar | Specialist | 5505 Roswell Rd, Suite 100, Atlanta, GA 30342-1985 | 2005-05-27 |
| 1063022382 | James O Todd | Nurse Practitioner | 5505 Roswell Rd, Atlanta, GA 30342-1985 | 2020-08-01 |
| 1336617323 | Carter Hughes | Specialist/Technologist | 5505 Roswell Rd, Atlanta, GA 30342-1985 | 2018-11-07 |
| 1962820845 | Modern Emergent Care, LLC | Clinic/Center | 5505 Roswell Rd, Suite 100, Atlanta, GA 30342-1985 | 2014-03-28 |
| 1245661693 | Modern Emergency Care, LLC | General Practice | 5505 Roswell Rd, Suite 100, Atlanta, GA 30342-1985 | 2013-12-11 |
| 1366787723 | Lindsey Helen Taylor | Orthopaedic Surgery | 5505 Roswell Rd, Suite 100, Atlanta, GA 30342-1985 | 2012-12-11 |
| 1679897227 | Sandra Bohorquez | Chiropractor | 5505 Roswell Rd, Suite 275, Atlanta, GA 30342-1985 | 2010-03-24 |
| 1265474019 | Raymond E Gutierrez | Emergency Medicine | 5505 Roswell Rd, Suite 100, Atlanta, GA 30342-1985 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081657 | Rtw Health Services LLC | Emergency Medicine | 1951 Lenox Rd Ne, Atlanta, GA 30306-3059 | 2020-10-21 |
| 1588019368 | Martine Camille | Emergency Medicine | 49 Jesse Hill Jr Dr Se Ste 310, Atlanta, GA 30303-3049 | 2016-04-28 |
| 1124482179 | Caelyn Thea Bellerose | Emergency Medicine | Emory School of Medicine, 100 Woodruff Circle, Suite 327, Atlanta, GA 30322-0001 | 2016-04-06 |
| 1659752442 | Esther Hwang | Emergency Medicine | 531 Asbury Circle Hospital Annex Suite N340, Atlanta, GA 30322-4601 | 2015-06-17 |
| 1699165423 | Metropolitan Acute Care, LLP | Emergency Medicine | 1821 Clifton Road, Northeast, Atlanta, GA 30329-4021 | 2015-02-02 |
| 1164842910 | Emberlynn Liang Liu | Emergency Medicine | 531 Asbury Circle Hospital Annex-suite N340, Atlanta, GA 30322 | 2014-04-20 |
| 1669892618 | Michael J Carr | Emergency Medicine | 531 Asbury Cir Dept Of, Atlanta, GA 30322 | 2014-04-17 |
| 1962820654 | Elijah Robinson IIi | Emergency Medicine | 100 Woodruff Cir Ne Ste 327, Atlanta, GA 30322 | 2014-03-31 |
| 1922426741 | Rutvi Patel | Emergency Medicine | 235 Peachtree Street Ne, North Tower, Suite 2100, Atlanta, GA 30303 | 2014-03-29 |
| 1669816674 | Lisa Denardi | Emergency Medicine | 235 Peachtree St Ne #2100, Atlanta, GA 30303 | 2013-04-20 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.