NPI age
8 years
Enumerated 2018-04-04
● Active
Type 1 · Individual
Shanekkia Black, MD
Black is 1 of 47 internal medicine providers in Austell and 1 of 5027 in Georgia.
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-04-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 5027 active internal medicine providers in Georgia.
NPI age
8 years
↓ 10 yr below median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
1
In the 32% of peers with subspecialties
NPI lifetime · 2018 → 2026
2018-04Enumerated in NPPES
2018
2026
Where they practice
Practice location
1605 Mulkey Rd Ste 220
Austell, GA 301061127
Mailing address
1605 Mulkey Rd Ste 220
Austell, GA 301061127
Additional practice locations
1 secondary location on file with NPPES.
Location 2
3825 Medical Park Dr Ste 201
Austell, GA 301066831
Specialties
-
Internal Medicine PrimaryA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
-
Student in an Organized Health Care Education/Training ProgramAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- 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.