MRS. NEICOLE DUTTON BLACK PA-C
NPI 1033158548
Physician Assistant in Florence, SC

Q: What is Neicole Black's NPI number?

The NPI number for Neicole Black is 1033158548. It was assigned to this individual provider in the NPPES registry on June 6, 2006. The provider is also known as Mrs. Neicole Black Pa-C.

Q: What is Neicole Black's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Neicole Black was last updated on September 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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 June 06, 2006

2410 HOFFMEYER RD, FLORENCE, SC 29501(843) 882-6162(843) 662-8183 Get Directions Write a Review

NPPES record last updated: September 5, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mrs. Neicole Dutton Black Pa-c NPPES

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

MRS. NEICOLE DUTTON BLACK PA-C (NPI 1033158548) is an individual physician assistant in Florence, South Carolina, licensed in South Carolina (1091) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1033158548

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. NEICOLE DUTTON BLACKCredential: PA-C

Location Address2410 HOFFMEYER RDFlorence, SC 29501-7311

Mailing Address60 Commerce Plaza CirPembroke, NC 28372-7386 · (910) 521-2900 · Fax (910) 775-9165

Phone(843) 882-6162

Fax(843) 662-8183

Sole ProprietorNo

Enumeration DateJune 6, 2006

Last NPPES UpdateSeptember 5, 2019

✔ NPI 1033158548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in SC · 1091

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 1091 (SC)

2410 HOFFMEYER RD, Florence, SC 29501

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Other Names 1

Professional Name (2)Mrs. Neicole Black Pa-c

Other Identifiers 2

Medicaid8103286NC

Other1091SC · State License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.Insurance ›

Other Providers at the Same Location NPPES 6

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

LORRIE D. PEYTON FNP

Nurse Practitioner