TIMONTHY DONELL BLACK
NPI 1992396022
Nurse Practitioner - Family in Mount Airy, NC
About Timonthy Donell Black NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMONTHY DONELL BLACK (NPI 1992396022) is an individual family provider in Mount Airy, North Carolina, licensed in North Carolina (5014067) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS, is affiliated with Lifebrite Community Hospital Of Stokes, and maintains a secondary practice location in Stuart.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Timonthy Donell Black 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.
Medicare Billing Reassignments
6Medicare enrollment records show Timonthy Black reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mount Airy, NC 27030
- Reassigned Medicare billing, North Carolina enrollment
- 8 clinicians in this Medicare group
Elkin, NC 28621
- Reassigned Medicare billing, North Carolina enrollment
- 96 clinicians in this Medicare group
King, NC 27021
- Reassigned Medicare billing, North Carolina enrollment
- Also billed through NPI 1396288999 (North Carolina)
- 25 clinicians in this Medicare group
Danbury, NC 27016
- Reassigned Medicare billing, North Carolina enrollment
- 10 clinicians in this Medicare group
Stuart, VA 24171
- Reassigned Medicare billing, Virginia enrollment
- Medicare enrollment name: Patrick County Family Practice,pc
- 12 clinicians in this Medicare group
Jefferson, NC 28640
- Reassigned Medicare billing, North Carolina enrollment
- 61 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lifebrite Community Hospital Of Stokes
Critical Access Hospitals · Danbury, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MOUNT AIRY, NC 27030
MOUNT AIRY, NC 27030
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 Timonthy Black's NPI number?
The NPI number for Timonthy Black is 1992396022. It was assigned to this individual provider in the NPPES registry on February 1, 2021.
Where is Timonthy Black located?
Timonthy Black practices at 113 Scenic Outlet Ln Ste 2, Mount Airy, NC 27030. The listed phone number is (336) 352-4900.
What is Timonthy Black's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Timonthy Black enrolled in Medicare?
Yes. Timonthy 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.
Which organizations bill Medicare for Timonthy Black's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timonthy Black reassigns Medicare benefits to 6 organizations: Challie Minton MD (Mount Airy, NC), Yadkin Emergency Physicians, PLLC (Elkin, NC), Lifebrite Hospital Group Of Stokes, LLC (King, NC), Novant Health Stokes Medical Center, LLC (Danbury, NC), Patrick Urgent Care (Stuart, VA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timonthy Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Timonthy Black accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 2 other insurers list Timonthy 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.
Is Timonthy Black affiliated with any hospitals?
According to CMS data, Timonthy Black is affiliated with Lifebrite Community Hospital Of Stokes.
When was this NPI record last updated?
The NPPES record for Timonthy Black was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Timonthy Donell Black · NPI 1992396022
Family physician in Mount Airy, North Carolina. Individual provider, active in the CMS NPPES registry since February 1, 2021.
## Identity
- **NPI:** 1992396022 (Entity type: Individual)
- **Enumerated:** February 1, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5014067 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 113 SCENIC OUTLET LN STE 2, Mount Airy, NC 27030-9978
- **Phone:** (336) 352-4900 · **Fax:** (336) 352-4901
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Challie Minton MD (NPI 1790298024, Mount Airy, NC); Yadkin Emergency Physicians, PLLC (NPI 1417443771, Elkin, NC); Lifebrite Hospital Group Of Stokes, LLC (NPI 1548703457, King, NC); Novant Health Stokes Medical Center, LLC (NPI 1639024730, Danbury, NC); Patrick Urgent Care (NPI 1598236101, Stuart, VA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** May 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1992396022) · Data from the CMS NPPES public registry.