P Praxis·MD
● Active Type 1 · Individual

Katherine Black, MD

Pediatrics·MacOn, GA· NPI 1881056646 · Enumerated 2016 · 10 years on NPI
Black is 1 of 4 pediatrics providers in MacOn and 1 of 52 in Georgia.
NPI age
10 years
Enumerated 2016-03-22
Primary specialty
Pediatrics
Plus 2 subspecialties
Licensed in
GA, TN
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-03-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 52 active pediatrics providers in Georgia.

NPI age
10 years
↓ 8 yr below median (18 yr)
State licenses
2 states
Top 75% — 25% of peers are multi-state
Subspecialties
1
In the 34% of peers with subspecialties

NPI lifetime · 2016 → 2026

2016-03Enumerated in NPPES
2016 2026

Where they practice

Practice location
1062 Forsyth St Ste 2e
MacOn, GA 312018631
📞 4786337330fax 4786337360
Mailing address
1062 Forsyth St Ste 2e
MacOn, GA 312018631
📞 4786337330fax 4786337360

Specialties

  • Pediatrics Primary
    A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and...
    GA license #92412 taxonomy 2080P0206X
  • Pediatrics
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    GA license #92412TN license #59619 taxonomy 208000000X

Practice context

Part of a multi-provider practice. 7 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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