MARY HELEN BLACK FNP-BC
NPI 1952926065
Nurse Practitioner - Family in Savannah, GA

Active since June 15, 2020PECOS EnrolledAccepts Medicare Assignment
4700 WATERS AVE STE 507, SAVANNAH, GA 31404(912) 350-7412 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2021, Jun 15, 2020 (2 updates tracked since 2020).

About Mary Helen Black Fnp-bc NPPES

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

MARY HELEN BLACK FNP-BC (NPI 1952926065) is an individual family provider in Savannah, Georgia, licensed in Georgia (RN207452) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1952926065
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY HELEN BLACKCredential: FNP-BC
Location Address4700 WATERS AVE STE 507Savannah, GA 31404-6220
Mailing Address156 Dovetail XingSavannah, GA 31419-9390 · (912) 604-0161
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 15, 2020
Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration
NPPES CertifiedDecember 17, 2021
NPI 1952926065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN207452
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License RN207452 (GA)
4700 WATERS AVE STE 507, Savannah, GA 31404

Accepted 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

Mary Helen Black Fnp-bc 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 ID6800200106
PECOS Enrollment IDI20210128000107
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 31404 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
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 13

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

Internal Medicine (Critical Care Medicine)
4700 WATERS AVE STE 507
SAVANNAH, GA 31404
Nurse Practitioner
4700 WATERS AVE STE 507
SAVANNAH, GA 31404
Internal Medicine (Hospice and Palliative Medicine)
4700 WATERS AVE STE 507
SAVANNAH, GA 31404
Internal Medicine (Critical Care Medicine)
4700 WATERS AVE STE 507
SAVANNAH, GA 31404
Family Medicine (Hospice and Palliative Medicine)
4700 WATERS AVE STE 507
SAVANNAH, GA 31404
Nurse Practitioner (Family)
4700 WATERS AVE STE 507
SAVANNAH, GA 31404
Internal Medicine (Critical Care Medicine)
4700 WATERS AVE STE 507
SAVANNAH, GA 31404
Internal Medicine (Critical Care Medicine)
4700 WATERS AVE STE 507
SAVANNAH, GA 31404

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 Mary Black's NPI number?

The NPI number for Mary Black is 1952926065. It was assigned to this individual provider in the NPPES registry on June 15, 2020.

Where is Mary Black located?

Mary Black practices at 4700 Waters Ave Ste 507, Savannah, GA 31404. The listed phone number is (912) 350-7412.

What is Mary Black's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mary Black enrolled in Medicare?

Yes. Mary 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.

What insurance does Mary Black accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Mary 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 Mary Black was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.