TIMONTHY DONELL BLACK
NPI 1992396022
Nurse Practitioner - Family in Mount Airy, NC

Active since February 01, 2021PECOS EnrolledAccepts Medicare Assignment
113 SCENIC OUTLET LN STE 2, MOUNT AIRY, NC 27030(336) 352-4900(336) 352-4901 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2024, Mar 17, 2021, Mar 2, 2021 and 2 more (5 updates tracked since 2021).

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 Northern Regional Hospital, and maintains a secondary practice location in Stuart.

NPPES Registry Identity

NPI1992396022
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTIMONTHY DONELL BLACK
Location Address113 SCENIC OUTLET LN STE 2Mount Airy, NC 27030-9978
Mailing Address1132 Carter Mountain RdStuart, VA 24171-3769 · (336) 345-6731
Fax(336) 352-4901
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 1, 2021
Last NPPES UpdateMay 16, 20245 updates tracked since enumeration
NPPES CertifiedMay 16, 2024
NPI 1992396022 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 NC · 5014067
113 SCENIC OUTLET LN STE 2, Mount Airy, NC 27030

Secondary Practice Location 1

Location 11132 Carter Mountain RdStuart, VA 24171-3769 · Phone (336) 345-6731

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

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.

PECOS PAC ID8426466285
PECOS Enrollment IDI20210908004000
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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
199 services84 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
79 services51 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
22 services22 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
19 services19 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
19 services19 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
16 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northern Regional Hospital

Acute Care Hospitals · Mount Airy, NC
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340003
Location830 Rockford StMount Airy, NC 27030 · Surry County
Emergency services Birthing friendly

Lifebrite Community Hospital Of Stokes

Critical Access Hospitals · Danbury, NC
OwnershipProprietary
CMS Certification Number341317
Location1570 Nc 8 & 89 Hwy NorthDanbury, NC 27016 · Stokes County
Emergency services

Physician 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.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 8

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

Nurse Practitioner (Pediatrics)
113 SCENIC OUTLET LN STE 2
MOUNT AIRY, NC 27030
Nurse Practitioner
113 SCENIC OUTLET LN STE 2
MOUNT AIRY, NC 27030
Physician Assistant
113 SCENIC OUTLET LN STE 2
MOUNT AIRY, NC 27030
Nurse Practitioner (Family)
113 SCENIC OUTLET LN STE 2
MOUNT AIRY, NC 27030
Family Medicine
113 SCENIC OUTLET LN STE 2
MOUNT AIRY, NC 27030
Family Medicine
113 SCENIC OUTLET LN STE 2
MOUNT AIRY, NC 27030
Clinic/Center (Multi-Specialty)
113 SCENIC OUTLET LN STE 2
MOUNT AIRY, NC 27030
Nurse Practitioner (Family)
113 SCENIC OUTLET LN STE 2
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.

What insurance does Timonthy Black accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 1 other insurer 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 Northern Regional Hospital and 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.