NPI age
13 years
Enumerated 2012-12-03
● Active
Type 1 · Individual
Casey R. Black, NP
Black is 1 of 36 nurse practitioner providers in Stockbridge and 1 of 3,302 in Georgia.
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2017-05-10
Source: CMS NPPES provider record
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 3302 active nurse practitioner providers in Georgia.
NPI age
13 years
↑ 5 yr above median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties
NPI lifetime · 2012 → 2017
2012-12Enumerated in NPPES
2012
2017
Where they practice
Practice location
125 Eagle Spring Dr
Stockbridge, GA 302816328
Mailing address
125 Eagle Spring Dr
Stockbridge, GA 302816328
Specialties
-
Nurse Practitioner Primary(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
Practice context
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new nurse practitioner provider has been added in Stockbridge in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.