DAMON A. BLACK (M.D.) – Diagnostic Radiology Physician, NPI 1225071616

DAMON A. BLACK (M.D.) is a healthcare provider. based in Rome, Georgia. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 056409 (GA). The NPI Number for DAMON A. BLACK (M.D.) is 1225071616

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DAMON A. BLACK (M.D.)
NPI
1225071616
Phone
(706) 291-2077
Address
PO BOX 369
Enumeration Date
14 June 2006
Last Update Date
23 July 2012

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
7704006080
Graduation Year
2000 (26 years ago)
PAC ID
6002829710
Group Practice PAC ID
4880841212
Professional Enrollment ID
I20060725000368
Address ID
GA302658001NE600XXPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,271 DIAGNOSTIC RADIOLOGY in GA

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Provider Addresses for DAMON A. BLACK (M.D.)

  • Rome, Town of Sullivan, Jefferson County, Wisconsin, United States

    ROME, GA 301620369

    Phone: (706) 291-2077

    Fax: (706) 235-4177

    Type: Mailing

  • North Broad Street Northeast, Rome, Floyd County, Georgia, 30161, United States

    SUITE 220

    ROME, GA 301615207

    Phone: (706) 291-2077

    Fax: (706) 235-4177

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $97.

Total Amount is formed as General ($97) + Research ($0) + Ownership ($0) = $97.

Last reported payment date: 2024-02-26 • Largest payer in this snapshot: Sirtex Medical Inc ($52).

Total Amount

$97

General + Research + Ownership

Payments

4

Total payment records

General Amount

$97

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-26

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-07-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060725000368IDiagnostic RadiologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71260Ct scan of chest with contrast388326$0
74177Ct scan of abdomen and pelvis with contrast362302$0
78306Nuclear medicine study of bone and/or joint whole body11097$0
71045X-ray of chest, 1 view10679$0
71250Ct scan of chest without contrast9680$0
View full utilization report →

Insurance plans in this area (ZIP 30162)

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Provider's Procedures

DAMON A. BLACK (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYGA71010X-ray of chest, 1 view, front7155
DIAGNOSTIC RADIOLOGYGA71250CT scan chest2625
DIAGNOSTIC RADIOLOGYGA74177CT scan of abdomen and pelvis with contrast136118
DIAGNOSTIC RADIOLOGYGA93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers2020

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880841212View full group profile
NameSpecialtyState
Nurse PractitionerGA
-GA
Nurse PractitionerGA
Nurse PractitionerGA
Emergency MedicineGA
-GA
Plastic And Reconstructive SurgeryGA
Nurse PractitionerGA
P S Y C H I A T R YGA
-NC

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Frequently asked questions

What unique ID ties claims to DAMON A. BLACK (M.D.)?
NPI 1225071616 is assigned to DAMON A. BLACK (M.D.) under the national enumeration system.
Is DAMON A. BLACK (M.D.) active in the national directory?
DAMON A. BLACK (M.D.)'s public NPI profile is in an active state.
What kind of provider is DAMON A. BLACK (M.D.)?
The page reflects Diagnostic Radiology Physician for DAMON A. BLACK (M.D.). Clinical services aligned with this taxonomy classification.
Does DAMON A. BLACK (M.D.) practice in Georgia?
You will see Rome, Georgia on file for DAMON A. BLACK (M.D.) alongside any extra practice locations.
Is DAMON A. BLACK (M.D.) a real provider?
This page reflects official NPPES data for NPI 1225071616. Always confirm identity and privileges with the practice and licensing boards.

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