DR. JEFFERY REUBEN BLACK MD
NPI 1508954975
Psychiatry & Neurology - Child & Adolescent Psychiatry in Greer, SC

Q: What is Jeffery Black's NPI number?

The NPI number for Jeffery Black is 1508954975. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Q: What is Jeffery Black's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Jeffery Black was last updated on June 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 11, 2006PECOS EnrolledAccepts Medicare Assignment

109 PHYSICIANS DR STE B, GREER, SC 29650(864) 797-9170(864) 797-9175 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 3, 2026, Jan 27, 2023 (2 updates tracked since 2023).

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About Dr. Jeffery Reuben Black Md NPPES

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

DR. JEFFERY REUBEN BLACK MD (NPI 1508954975) is an individual child & adolescent psychiatry provider in Greer, South Carolina, licensed in South Carolina (89089) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Gainesville, and is a graduate of Medical College Of Georgia School Of Medicine (1992).

NPPES Registry Identity

NPI1508954975

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameDR. JEFFERY REUBEN BLACKCredential: MD

Location Address109 PHYSICIANS DR STE BGreer, SC 29650-2446

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603

Phone(864) 797-9170

Fax(864) 797-9175

Sole ProprietorYes

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1992

Enumeration DateOctober 11, 2006

Last NPPES UpdateJune 3, 20262 updates tracked since enumeration

NPPES CertifiedJune 3, 2026

✔ NPI 1508954975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in SC · 89089

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 37486 (GA)

109 PHYSICIANS DR STE B, Greer, SC 29650

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Secondary Practice Location 1

Location 1200 Wisteria DrGainesville, GA 30501-3827 · Phone (770) 219-5407 · Fax (770) 219-7102

Other Identifiers 1

Medicaid000752661BGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina 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 and accepts Medicare assignment

Dr. Jeffery Reuben Black Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638162969

PECOS Enrollment IDI20230207001083

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

54 services42 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

42 services16 patients

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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. BELYNDA DUNN VESER MD

Psychiatry & Neurology (Geriatric Psychiatry)