KATHERINE BLACK (MD) – Pediatric Gastroenterology Physician, NPI 1881056646

KATHERINE BLACK (MD) is a healthcare provider. based in Macon, Georgia. specializing in Pediatric Gastroenterology Physician. They hold the professional credentials MD. They hold a License No. 92412 (GA). The NPI Number for KATHERINE BLACK (MD) is 1881056646

Main info

Female
Name
KATHERINE BLACK (MD)
NPI
1881056646
Phone
(478) 633-7330
Address
1062 FORSYTH ST STE 2E
Enumeration Date
22 March 2016
Last Update Date
29 March 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:10State licenses:2Digital endpointsOther names

Provider Addresses for KATHERINE BLACK (MD)

  • 1062 FORSYTH ST STE 2E

    MACON, GA 312018631

    Phone: (478) 633-7330

    Fax: (478) 633-7360

    Type: Location

  • 10233 DOCTORS OFFICE TOWER 2200 CHILDREN'S WAY

    NASHVILLE, TN 372324619

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $821.

Total Amount is formed as General ($821) + Research ($0) + Ownership ($0) = $821.

Last reported payment date: 2024-07-18 • Largest payer in this snapshot: GENZYME CORPORATION ($244).

Total Amount

$821

General + Research + Ownership

Payments

32

Total payment records

General Amount

$821

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-08-04

PECOS data refreshed: 2026-06-15

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
I20220804002285IPediatric MedicineGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31201)

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Reviews

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Frequently asked questions

What is the registry number for KATHERINE BLACK (MD)?
The registry entry for KATHERINE BLACK (MD) shows NPI 1881056646.
Quick check: is KATHERINE BLACK (MD) active?
Public NPPES data shows KATHERINE BLACK (MD) with an active NPI status right now.
Which specialty label fits KATHERINE BLACK (MD)?
NPPES ties KATHERINE BLACK (MD) to Pediatric Gastroenterology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to KATHERINE BLACK (MD)?
The directory associates KATHERINE BLACK (MD) with Macon, Georgia. Check all listed addresses for suites or satellite offices.
Can I export KATHERINE BLACK (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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