Mary Black, MD
NPI 1780716084 · Pediatrics Physician · Fort Gordon, GA
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Black, MD is a Pediatrics Physician provider in Fort Gordon, GA (NPI 1780716084).
Provider details
- NPI number
- 1780716084
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 059094 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-12
- Last updated
- 2025-11-17
- Certified
- 2025-11-17
Frequently asked questions
- What is Mary Black's NPI number?
- Mary Black's National Provider Identifier (NPI) is 1780716084, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Black's specialty?
- Mary Black is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Mary Black located?
- Mary Black's practice location on file with NPPES is 300 W Hospital Rd, Fort Gordon, GA 30905-5741.
- What is Mary Black's phone number?
- The practice phone number listed in the NPPES registry for Mary Black is (706) 787-7300.
- Does Mary Black accept Medicare?
- Mary Black is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mary Black's NPI active?
- Yes — Mary Black's NPI (1780716084) is active in the NPPES registry as of the last update on 2025-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.