KATHERINE BLACK MD
NPI 1881056646
Pediatrics - Pediatric Gastroenterology in Macon, GA

Active since March 22, 2016PECOS Enrolled
1062 FORSYTH ST STE 2E, MACON, GA 31201(478) 633-7330(478) 633-7360 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 27, 2022, Oct 20, 2021, Jul 30, 2019 and 2 more (5 updates tracked since 2016).

About Katherine Black Md NPPES

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

KATHERINE BLACK MD (NPI 1881056646) is an individual pediatric gastroenterology provider in Macon, Georgia, licensed in Georgia (92412) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881056646
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameKATHERINE BLACKCredential: MD
Location Address1062 FORSYTH ST STE 2EMacon, GA 31201-8631
Mailing Address1062 Forsyth St Ste 2eMacon, GA 31201-8631 · (478) 633-7330 · Fax (478) 633-7360
Fax(478) 633-7360
Sole ProprietorNo
Enumeration DateMarch 22, 2016
Last NPPES UpdateMarch 29, 20245 updates tracked since enumeration
NPPES CertifiedMarch 29, 2024
NPI 1881056646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License Licensed in GA · 92412
Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Also ListedPediatricsTaxonomy 208000000X · License 92412 (GA), 59619 (TN)
1062 FORSYTH ST STE 2E, Macon, GA 31201

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Katherine Black Md 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 31201 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

Pediatrics (Pediatric Gastroenterology)
1062 FORSYTH ST STE 2E
MACON, GA 31201
Nurse Practitioner (Pediatrics)
1062 FORSYTH ST STE 2E
MACON, GA 31201
Physician Assistant (Medical)
1062 FORSYTH ST STE 2E
MACON, GA 31201
Pediatrics (Pediatric Gastroenterology)
1062 FORSYTH ST STE 2E
MACON, GA 31201
Pediatrics (Pediatric Gastroenterology)
1062 FORSYTH ST STE 2E
MACON, GA 31201
Dietitian, Registered (Nutrition, Pediatric)
1062 FORSYTH ST STE 2E
MACON, GA 31201
Nurse Practitioner
1062 FORSYTH ST STE 2E
MACON, GA 31201

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 Katherine Black's NPI number?

The NPI number for Katherine Black is 1881056646. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Katherine Black located?

Katherine Black practices at 1062 Forsyth St Ste 2E, Macon, GA 31201. The listed phone number is (478) 633-7330.

What is Katherine Black's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Katherine Black enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Katherine Black was last updated on March 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.