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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since June 12, 2008PECOS Enrolled
4168 SOUTHPOINT PKWY S STE 201, JACKSONVILLE, FL 32216(904) 398-5437(904) 398-3077 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 15, 2026, Aug 10, 2026, Jul 1, 2024 (3 updates tracked since 2024).

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 Address4168 SOUTHPOINT PKWY S STE 201Jacksonville, FL 32216-8002
Mailing Address1800 Dr Martin Luther King Jr St NSt Petersburg, FL 33704-4222 · (727) 865-4288
Phone(904) 398-5437
Fax(904) 398-3077
Sole ProprietorNo
Enumeration DateJune 12, 2008
Last NPPES UpdateSeptember 15, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2026
✔ 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
4168 SOUTHPOINT PKWY S STE 201, Jacksonville, FL 32216
Open in Google Maps ↗

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 Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Angela Black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Nemours Foundation
2.6 mi
Multi-Specialty
10140 CENTURION PKWY N, THE NEMOURS FOUNDATION
Jacksonville, FL 32256
  • Reassigned Medicare billing, Florida enrollment
  • 703 clinicians in this Medicare group
NPI 1386658615 (904) 697-5628

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 4168 Southpoint Pkwy S Ste 201, Jacksonville, FL 32216. 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.

Which organization bills Medicare for Angela Black's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Black reassigns Medicare benefits to The Nemours Foundation (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Angela Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angela Black accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare 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 September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.