MICHAEL EDWARD BLACK
NPI 1043103674
Physician Assistant in Tallahassee, FL

Active since June 02, 2025PECOS Enrolled
1707 RIGGINS RD, TALLAHASSEE, FL 32308(850) 877-4134(850) 942-4112 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 13, 2026, Jun 2, 2025 (2 updates tracked since 2025).

About Michael Edward Black NPPES

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

MICHAEL EDWARD BLACK (NPI 1043103674) is an individual physician assistant in Tallahassee, Florida and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS, maintains a secondary practice location in Marianna, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1043103674
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL EDWARD BLACK
Location Address1707 RIGGINS RDTallahassee, FL 32308-5317
Mailing AddressPo Box 13834Tallahassee, FL 32317-3834 · (850) 205-6232 · Fax (855) 975-0615
Fax(850) 942-4112
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 2, 2025
Last NPPES UpdateJanuary 13, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
NPI 1043103674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.

1707 RIGGINS RD, Tallahassee, FL 32308

Secondary Practice Location 1

Location 13009 4th StMarianna, FL 32446-2122 · Phone (850) 526-7474 · Fax (850) 526-2148

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michael Edward Black is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880171396
PECOS Enrollment IDI20260127000810
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32308 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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 19

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

Dermatology
1707 RIGGINS RD
TALLAHASSEE, FL 32308
Dermatology
1707 RIGGINS RD
TALLAHASSEE, FL 32308
Physician Assistant
1707 RIGGINS RD
TALLAHASSEE, FL 32308
Physician Assistant
1707 RIGGINS RD
TALLAHASSEE, FL 32308
Physician Assistant
1707 RIGGINS RD
TALLAHASSEE, FL 32308
Dermatology
1707 RIGGINS RD
TALLAHASSEE, FL 32308
Dermatology (MOHS-Micrographic Surgery)
1707 RIGGINS RD
TALLAHASSEE, FL 32308
Nurse Practitioner (Family)
1707 RIGGINS RD
TALLAHASSEE, FL 32308

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043103674, enumerated as an "individual" on June 02, 2025.

The provider is located at 1707 RIGGINS RD TALLAHASSEE, FL 32308 and the phone number is (850) 877-4134.

Physician Assistant with taxonomy code 363A00000X.