MICHAEL ANTHONY SR. BLACK (P.A.-C) – Physician Assistant, NPI 1003007311

MICHAEL ANTHONY SR. BLACK (P.A.-C) is a healthcare provider. based in Ft hood, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.-C. They hold a License No. PA10004010 (WA). The NPI Number for MICHAEL ANTHONY SR. BLACK (P.A.-C) is 1003007311

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL ANTHONY SR. BLACK (P.A.-C)
NPI
1003007311
Phone
Not provided
Address
3600 DARNALL LOOP
Enumeration Date
5 August 2007
Last Update Date
31 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8649689144
Graduation Year
2012 (14 years ago)
PAC ID
9234543505
Group Practice PAC ID
8628502598
Professional Enrollment ID
I20210127002395
Address ID
SC293072231SP1762XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for MICHAEL ANTHONY SR. BLACK (P.A.-C)

  • 3600 DARNALL LOOP

    CARL R. DARNALL ARMY MEDICAL CENTER

    FT HOOD, TX 76544

    Phone:

    Type: Mailing

  • PO BOX 749306

    ATLANTA, GA 303749306

    Phone:

    Type: Mailing

  • 3600 Darnall Loop

    Carl R. Darnall Army Medical Center

    Ft Hood, TX 76544

    Phone: (254) 286-7927

    Type: Location

  • 1818 HENDERSON ST

    COLUMBIA, SC 292012619

    Phone: (803) 782-4278

    Type: Mailing

  • 1762 E MAIN ST

    SPARTANBURG, SC 293072231

    Phone: (864) 591-2261

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-01-27

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
I20210127002395IPhysician AssistantSCTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes5445$0
99203New patient office or other outpatient visit, 30-44 minutes4949$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen3333$0
99204New patient office or other outpatient visit, 45-59 minutes3333$0
99214Established patient office or other outpatient visit, 30-39 minutes3028$0
View full utilization report →

Insurance plans in this area (ZIP 76544)

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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: 8628502598View full group profile
NameSpecialtyState
Family Practice, General PracticeSC
Physician AssistantSC
Physician AssistantSC
Physician AssistantSC
General Practice, Family PracticeSC
Nurse PractitionerSC
Physician AssistantSC
Physician AssistantGA
Nurse PractitionerSC
Nurse PractitionerSC

Reviews

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Frequently asked questions

What federal number belongs to MICHAEL ANTHONY SR. BLACK (P.A.-C)?
The federal identifier for MICHAEL ANTHONY SR. BLACK (P.A.-C) is NPI 1003007311.
Is MICHAEL ANTHONY SR. BLACK (P.A.-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MICHAEL ANTHONY SR. BLACK (P.A.-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for MICHAEL ANTHONY SR. BLACK (P.A.-C). Clinical services aligned with this taxonomy classification.
Where is MICHAEL ANTHONY SR. BLACK (P.A.-C)'s primary listing?
We display Ft Hood, Texas because that is what the record indicates for MICHAEL ANTHONY SR. BLACK (P.A.-C).
How can I contact MICHAEL ANTHONY SR. BLACK (P.A.-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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