DR. ANGELA PREVATT BLACK MD
NPI 1275793358
Otolaryngology - Pediatric Otolaryngology in Jacksonville, FL

Q: What is Angela Black's NPI number?

The NPI number for Angela Black is 1275793358. It was assigned to this individual provider in the NPPES registry on June 12, 2008. The provider is also known as Mrs. Angela Renee Prevatt.

Q: What is Angela Black's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Q: When was this NPI record last updated?

The NPPES record for Angela Black was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 12, 2008PECOS Enrolled

10475 CENTURION PKWY N STE 302, JACKSONVILLE, FL 32256(904) 398-5437(904) 398-3077 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Angela Prevatt Black Md NPPES

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

DR. ANGELA PREVATT BLACK MD (NPI 1275793358) is an individual pediatric otolaryngology provider in Jacksonville, Florida, licensed in Florida (ME115569) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275793358

Entity TypeIndividualFemale

Primary Taxonomy207YP0228X

Provider Legal NameDR. ANGELA PREVATT BLACKCredential: MD

Location Address10475 CENTURION PKWY N STE 302Jacksonville, FL 32256-5004

Mailing Address10475 Centurion Pkwy N Ste 302Jacksonville, FL 32256-5004 · (043) 985-4379 · Fax (043) 983-0779

Phone(904) 398-5437

Fax(904) 398-3077

Sole ProprietorNo

Enumeration DateJune 12, 2008

Last NPPES UpdateJuly 1, 2024

NPPES CertifiedJuly 1, 2024

✔ NPI 1275793358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207YP0228X

License✔ Licensed in FL · ME115569

Definition

A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

10475 CENTURION PKWY N STE 302, Jacksonville, FL 32256

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Other Names 1

Former Name (1)Mrs. Angela Renee Prevatt

Other Identifiers 1

Medicaid'009304000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Angela Prevatt Black Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 3

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

DR. STEVEN M. ANDREOLI MD

Otolaryngology (Pediatric Otolaryngology)

10475 CENTURION PKWY N STE 302
JACKSONVILLE, FL 32256

Duval County (904) 398-5437

GRACE ALEXANDRA TILBROOK AUD

Audiologist

10475 CENTURION PKWY N STE 302
JACKSONVILLE, FL 32256

Duval County (904) 398-5437

AUDREY O'KEEFE MISEL PA-C

Physician Assistant

10475 CENTURION PKWY N STE 302
JACKSONVILLE, FL 32256

Duval County (904) 398-5437

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Black's NPI number?

The NPI number for Angela Black is 1275793358. It was assigned to this individual provider in the NPPES registry on June 12, 2008. The provider is also known as Mrs. Angela Renee Prevatt.

Where is Angela Black located?

Angela Black practices at 10475 Centurion Pkwy N Ste 302, Jacksonville, FL 32256. The listed phone number is (904) 398-5437.

What is Angela Black's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Is Angela Black enrolled in Medicare?

Yes. Angela Black is registered in the Medicare PECOS enrollment system.

What insurance does Angela Black accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 1 other insurer list Angela Black as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Angela Black was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.