JOHN B BLACK (MD) – Diagnostic Radiology Physician, NPI 1548247729
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,271 DIAGNOSTIC RADIOLOGY in GA
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Provider Addresses for JOHN B BLACK (MD)
PO BOX 100041
KENNESAW, GA 301569241
Phone: (770) 779-2178
Type: Mailing
11, Upper Riverdale Road, Sherwood Park, Riverdale, Clayton County, Georgia, 30274, United States
RIVERDALE, GA 302742615
Phone: (770) 991-8000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $30.
Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.
Last reported payment date: 2023-02-24 • Largest payer in this snapshot: Boston Scientific Corporation ($30).
Total Amount
$30
General + Research + Ownership
Payments
1
Total payment records
General Amount
$30
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $30 |
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: 2010-06-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100601000537 | I | Diagnostic Radiology | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 968 | 907 | $0 |
| 70450 | Ct scan head or brain without contrast | 549 | 521 | $0 |
| 76376 | 3d radiographic procedure | 455 | 387 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 323 | 315 | $0 |
| 71275 | Ct scan of blood vessels of chest with contrast | 261 | 259 | $0 |
Insurance plans in this area (ZIP 30156)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | GA | 71010 | X-ray of chest, 1 view, front | 931 | 702 |
| DIAGNOSTIC RADIOLOGY | GA | 71250 | CT scan chest | 35 | 35 |
| DIAGNOSTIC RADIOLOGY | GA | 73110 | X-ray of wrist, minimum of 3 views | 25 | 22 |
| DIAGNOSTIC RADIOLOGY | GA | 73562 | X-ray of knee, 3 views | 57 | 50 |
| DIAGNOSTIC RADIOLOGY | GA | 73630 | X-ray of foot, minimum of 3 views | 22 | 22 |
| DIAGNOSTIC RADIOLOGY | GA | 74177 | CT scan of abdomen and pelvis with contrast | 24 | 24 |
| DIAGNOSTIC RADIOLOGY | GA | 76830 | Ultrasound pelvis through vagina | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology, Interventional Radiology | MS | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | FL | |
| Physician Assistant | GA |
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