P Praxis·MD
● Active Type 1 · Individual

MR. Trevor Elan Black, D.P.M.

Podiatrist·Atlanta, GA· NPI 1861835308 · Enumerated 2013 · 13 years on NPI
Black is 1 of 32 podiatrist providers in Atlanta and 1 of 397 in Georgia.
NPI age
13 years
Enumerated 2013-04-15
Primary specialty
Podiatrist
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-01-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 397 active podiatrist providers in Georgia.

NPI age
13 years
↓ 2 yr below median (15 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
1
In the 25% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-04Enumerated in NPPES
2013 2026

Where they practice

Practice location
20 Glenlake Pkwy, Kaiser Permanente Glenlake Medical Center
Atlanta, GA 303283473
📞 8183261058
Mailing address
3495 Piedmont Rd Ne, Nine Piedmont Center
Atlanta, GA 303051717
📞 4045045678

Specialties

  • Podiatrist Primary
    Definition to come...
    GA license #POD001289 taxonomy 213ES0103X
  • Student in an Organized Health Care Education/Training Program
    An 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.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 83 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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