James D Black Jr.


Address: 300 Courtyard Sedr, B, Cartersville, GA 30120-8535
Phone: 7703861076

James D Black Jr. (NPI# 1942304423, PAC ID# 0749355139) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.

Physician Overview

Nation Provider ID (NPI) 1942304423
PAC ID by PECOS 0749355139
Professional Enrollment ID I20080820000009
Full Name James D Black Jr.
Address 300 Courtyard Sedr
B
Cartersville
GA 30120-8535
Phone Number 7703861076
Gender M
Medical School MEDICAL COLLEGE OF GEORGIA
Graduation Year 1986
Primary Specialty UROLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
110030 CARTERSVILLE MEDICAL CENTER

Other Locations

Address Phone Organization
300 Courtyard Sedr, B, Cartersville, GA 30120-8535 7703861076

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_EP_1 e-Prescribing 100%
ACI_EC_TRANS_MR_1 Medication Reconciliation 100%
ACI_EC_TRANS_PEA_1 Provide Patient Access 74%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 0%
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PSE_1 Patient-Specific Education 61%
ACI_EC_TRANS_SM_1 Secure Messaging 0%
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 100%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%
MIPS_EC_131_overall Pain Assessment and Follow-Up 100%
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 97%

Organization Information

Office Location

Street Address 300 COURTYARD SEDR
B
City CARTERSVILLE
State GA
Zip 30120-8535

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Jill L Kachinsky Chiropractic 607 N Tennessee St, Cartersville, GA 30120-1697
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Brandon C Grinage Anesthesiology Sheridan Anesthesia Services of North Georgia, PC 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129
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Competitor

Search similar physicians

City CARTERSVILLE
Zip Code 30120
Specialty UROLOGY
City + Specialty CARTERSVILLE + UROLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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