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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.

ALEXIS BLACK
NPI 1780525071
Student in an Organized Health Care Education/Training Program in Greenville, SC

Active since April 02, 2026PECOS Enrolled
725 GROVE RD, GREENVILLE, SC 29605(864) 455-5777 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2026, Apr 2, 2026 (2 updates tracked since 2026).

About Alexis Black NPPES

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

ALEXIS BLACK (NPI 1780525071) is an individual student in an organized health care education/training program in Greenville, South Carolina and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780525071
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameALEXIS BLACK
Location Address725 GROVE RDGreenville, SC 29605-4287
Mailing Address725 Grove RdGreenville, SC 29605-4287 · (864) 455-5777
Phone(864) 455-5777
Sole ProprietorYes
Enumeration DateApril 2, 2026
Last NPPES UpdateJuly 10, 20262 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
✔ NPI 1780525071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
725 GROVE RD, Greenville, SC 29605
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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)

Alexis Black 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 20

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

DANA LEIGH BRASFIELD
Counselor (Professional)
725 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 455-6968
CHASE HATHAWAY
Student in an Organized Health Care Education/Training Program
725 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 455-5777
LYNN PHILLIPS BODIFORD APRN
Nurse Practitioner (Psychiatric/Mental Health)
725 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 455-8988
ASHLEIGH NEELY
Counselor (Professional)
725 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 455-6968
CATHERINE CAVENDER
Psychiatry & Neurology (Psychiatry)
725 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 455-6968
KATHRYN RILEY
Nurse Practitioner (Psychiatric/Mental Health)
725 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 455-6968
MRS. CAROLINE COURTNEY TAPP B.A., M.A., LPC
Counselor (Professional)
725 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 455-6968
ANKITA VAYALAPALLI
Student in an Organized Health Care Education/Training Program
725 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 455-5777

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 Alexis Black's NPI number?

The NPI number for Alexis Black is 1780525071. It was assigned to this individual provider in the NPPES registry on April 2, 2026.

Where is Alexis Black located?

Alexis Black practices at 725 Grove Rd, Greenville, SC 29605. The listed phone number is (864) 455-5777.

What is Alexis Black's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Alexis Black enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Alexis Black was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 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.