1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Podiatrist
  6. NPI Profile

MR. TREVOR ELAN BLACK D.P.M.
NPI 1861835308
Podiatrist - Foot & Ankle Surgery in Atlanta, GA

Active since April 15, 2013PECOS EnrolledAccepts Medicare Assignment
20 GLENLAKE PKWY, KAISER PERMANENTE GLENLAKE MEDICAL CENTER, ATLANTA, GA 30328(818) 326-1058 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Trevor Elan Black D.p.m. NPPES

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

MR. TREVOR ELAN BLACK D.P.M. (NPI 1861835308) is an individual foot & ankle surgery provider in Atlanta, Georgia, licensed in Georgia (POD001289) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1861835308
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameMR. TREVOR ELAN BLACKCredential: D.P.M.
Location Address20 GLENLAKE PKWY, KAISER PERMANENTE GLENLAKE MEDICAL CENTERAtlanta, GA 30328-3473
Mailing Address3495 Piedmont Rd Ne, Nine Piedmont CenterAtlanta, GA 30305-1717 · (404) 504-5678
Phone(818) 326-1058
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 15, 2013
Last NPPES UpdateJanuary 10, 2022
✔ NPI 1861835308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in GA · POD001289
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
20 GLENLAKE PKWY, Atlanta, GA 30328
Open in Google Maps ↗

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

Mr. Trevor Elan Black D.p.m. 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 ID6002039690
PECOS Enrollment IDI20170925002991
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.

DR. JOSE V SOMOHANO MD
Pediatrics
20 GLENLAKE PKWY
ATLANTA, GA 30328
Fulton County (770) 677-6037
MICHELLE D STEVENS PAC
Internal Medicine (Gastroenterology)
20 GLENLAKE PKWY, DEPARTMENT OF GASTROENTEROLOGY
ATLANTA, GA 30328
Fulton County (770) 677-6247
KATHLEEN S BUTT MD
Obstetrics & Gynecology
20 GLENLAKE PKWY, DEPARTMENT OF OBSTETRICS & GYNECOLOGY
ATLANTA, GA 30328
Fulton County (770) 677-6049
L ELLEN MARTIN CNM
Obstetrics & Gynecology
20 GLENLAKE PKWY
ATLANTA, GA 30328
Fulton County (770) 677-6049
ANDREA LYNN LEDBETTER PA-C
Physician Assistant
20 GLENLAKE PKWY, KAISER PERMANENTE GLENLAKE DEPT OF GASTROENTEROLOGY
ATLANTA, GA 30328
Fulton County (404) 365-0966
DR. DANIEL E. HUDDLESTON M.D.
Psychiatry & Neurology (Neurology)
20 GLENLAKE PKWY, GLENLAKE DEPT OF NEUROLOGY
ATLANTA, GA 30328
Fulton County (404) 365-0966
DR. ALAN MARC WEINBERG M.D.
Psychiatry & Neurology (Psychiatry)
20 GLENLAKE PKWY, DEPT OF BEHAVIORAL HEALTH
ATLANTA, GA 30328
Fulton County (404) 365-0966
MR. JAMES JOSEPH WEIGEL LCSW
Social Worker (Clinical)
20 GLENLAKE PKWY, BEHAVIORAL HEALTH
ATLANTA, GA 30328
Fulton County (770) 536-0874

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 Trevor Black's NPI number?

The NPI number for Trevor Black is 1861835308. It was assigned to this individual provider in the NPPES registry on April 15, 2013.

Where is Trevor Black located?

Trevor Black practices at 20 Glenlake Pkwy Kaiser Permanente Glenlake Medical Center, Atlanta, GA 30328. The listed phone number is (818) 326-1058.

What is Trevor Black's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Trevor Black enrolled in Medicare?

Yes. Trevor Black is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Trevor Black was last updated on January 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.