VIRGINIA GIBSON BLACK M.D.
NPI 1629159223
Pediatrics in Jacksonville, FL

Active since October 18, 2006
14810 OLD SAINT AUGUSTINE RD STE 106, CREDENTIALING DEPARTMENT, JACKSONVILLE, FL 32258(904) 268-7701(904) 268-9708 Get Directions Write a Review

NPPES record last updated: December 28, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 28, 2018, Nov 16, 2015 (2 updates tracked since 2015).

About Virginia Gibson Black M.d. NPPES

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

VIRGINIA GIBSON BLACK M.D. (NPI 1629159223) is an individual pediatrics provider in Jacksonville, Florida, licensed in Florida (ME78245) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1629159223
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameVIRGINIA GIBSON BLACKCredential: M.D.
Location Address14810 OLD SAINT AUGUSTINE RD STE 106, CREDENTIALING DEPARTMENTJacksonville, FL 32258-2558
Mailing AddressPo Box 45443Salt Lake City, UT 84145-0443 · (904) 202-1032 · Fax (904) 376-4107
Fax(904) 268-9708
Sole ProprietorNo
Enumeration DateOctober 18, 2006
Last NPPES UpdateDecember 28, 20182 updates tracked since enumeration
NPI 1629159223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in FL · ME78245
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

14810 OLD SAINT AUGUSTINE RD STE 106, Jacksonville, FL 32258

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Pediatrics
14810 OLD SAINT AUGUSTINE RD STE 106
JACKSONVILLE, FL 32258
Nurse Practitioner
14810 OLD SAINT AUGUSTINE RD STE 106
JACKSONVILLE, FL 32258
Pediatrics
14810 OLD SAINT AUGUSTINE RD STE 106
JACKSONVILLE, FL 32258
Pediatrics (Adolescent Medicine)
14810 OLD SAINT AUGUSTINE RD STE 106, CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32258

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 Virginia Black's NPI number?

The NPI number for Virginia Black is 1629159223. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Virginia Black located?

Virginia Black practices at 14810 Old Saint Augustine Rd Ste 106 Credentialing Department, Jacksonville, FL 32258. The listed phone number is (904) 268-7701.

What is Virginia Black's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Virginia Black accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Virginia 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 Virginia Black was last updated on December 28, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.