KEVIN HALE BLACK DDS, MD
NPI 1003995085
Emergency Medicine in Charlotte, NC

Q: What is Kevin Black's NPI number?

The NPI number for Kevin Black is 1003995085. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Q: What is Kevin Black's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Black was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment

1000 BLYTHE BLVD, CHARLOTTE, NC 28203(704) 355-2000 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kevin Hale Black Dds, Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN HALE BLACK DDS, MD (NPI 1003995085) is an individual emergency medicine provider in Charlotte, North Carolina, licensed in North Carolina (2025-01564) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Cleveland, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1003995085

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameKEVIN HALE BLACKCredential: DDS, MD

Location Address1000 BLYTHE BLVDCharlotte, NC 28203-5812

Mailing AddressPo Box 32861Charlotte, NC 28232-2861 · (704) 355-2000

Phone(704) 355-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateNovember 2, 2006

Last NPPES UpdateAugust 28, 2025

NPPES CertifiedAugust 28, 2025

✔ NPI 1003995085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in NC · 2025-01564

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1000 BLYTHE BLVD, Charlotte, NC 28203

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin Hale Black Dds, Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466820261

PECOS Enrollment IDI20250806003093

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Atrium Health Cleveland

Acute Care Hospitals · Shelby, NC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340021

Location201 E Grover StShelby, NC 28150 · Cleveland County

Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER EGAN M.D.

Pathology (Clinical Pathology/Laboratory Medicine)