PAUL C. BLACK MD – NPI #1285825836
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

PAUL BLACK is a physician located in CROSSVILLE, TN. NPPES has assigned the NPI number 1285825836 to PAUL BLACK on August 08, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on May 27, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PAUL BLACK below.

NPI Profile for
PAUL C. BLACK

NPI Number
1285825836
Enumeration Date

(about 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PAUL C. BLACK
Credentials
MD
Primary location
100 LANTANA RD STE 202
CROSSVILLE, TN 38555-1903
Phone: (931) 484-5141 Fax: (865) 374-2074
2 Other location(s):
1000 Gw Ln
Waynesville, MO 65583-2339
Phone: (573) 774-2715
Fax: (573) 202-2410
390 Kane St
Gate City, VA 24251-2753
Phone: (276) 386-3411
Fax: (276) 386-3492
Mailing address
1000 GW LN
WAYNESVILLE, MO 65583-2339
Phone: (573) 774-2715 Fax: (573) 202-2410
Sole Proprietor
No
Updated
Certification Date
May 27, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PAUL BLACK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBLACK LUNG165699202
otherTRICARE621584391013
medicaidTNQ009679
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 VA 0101244723

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
100 LANTANA RD STE 202,
CROSSVILLE, TN 77025-1669

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
PAUL BLACK is affiliated with the following medical group(s):
  • HOSPITAL
    • PHELPS COUNTY REGIONAL MEDICAL CENTER
      1000 W 10TH ST
      ROLLA, MO 65401
  • HOME HEALTH AGENCY
    • PHELPS HEALTH HOMECARE
      575 A BLUES LAKE PARKWAY
      ROLLA, MO 65401

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.