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JEREMY TAYLOR BLACK I
NPI 1457034191
Physician Assistant in Mobile, AL

Active since August 09, 2023PECOS Enrolled
6517 CEDAR BEND CT, MOBILE, AL 36608(801) 842-1517 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2024, Aug 9, 2023 (2 updates tracked since 2023).

About Jeremy Taylor Black I NPPES

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

JEREMY TAYLOR BLACK I (NPI 1457034191) is an individual physician assistant in Mobile, Alabama, licensed in Oregon (PA223011) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457034191
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJEREMY TAYLOR BLACK I
Location Address6517 CEDAR BEND CTMobile, AL 36608-5333
Mailing Address6517 Cedar Bend CtMobile, AL 36608-5333 · (801) 842-1517
Phone(801) 842-1517
Sole ProprietorNo
Enumeration DateAugust 9, 2023
Last NPPES UpdateDecember 17, 20242 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
✔ NPI 1457034191 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 OR · PA223011
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6517 CEDAR BEND CT, Mobile, AL 36608
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeremy Taylor Black I 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36608 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

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 Jeremy Black's NPI number?

The NPI number for Jeremy Black is 1457034191. It was assigned to this individual provider in the NPPES registry on August 9, 2023.

Where is Jeremy Black located?

Jeremy Black practices at 6517 Cedar Bend Ct, Mobile, AL 36608. The listed phone number is (801) 842-1517.

What is Jeremy Black's specialty?

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

Is Jeremy Black enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jeremy Black was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.