MICHAEL EDWARD BLACK
NPI 1043103674
Physician Assistant in Tallahassee, FL

Q: What is Michael Black's NPI number?

The NPI number for Michael Black is 1043103674. It was assigned to this individual provider in the NPPES registry on June 2, 2025.

Q: What is Michael 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 Michael Black was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 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: August 09, 2026.

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

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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

Phone(850) 877-4134

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

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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.

DR. ARMAND B COGNETTA JR. M.D.

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