Black Canyon Medical Group PLLC
NPI 1811419708 · Family Medicine Physician · Emmett, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Black Canyon Medical Group PLLC is a Family Medicine Physician organization in Emmett, ID (NPI 1811419708).
Provider details
- NPI number
- 1811419708
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tina Mcguffey, Owner(208) 365-2735
- License
- M9309 (ID)
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
8 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
- 2017-07-12
- Last updated
- 2022-07-21
Frequently asked questions
- What is Black Canyon Medical Group PLLC's NPI number?
- Black Canyon Medical Group PLLC's National Provider Identifier (NPI) is 1811419708, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Black Canyon Medical Group PLLC?
- Black Canyon Medical Group PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Black Canyon Medical Group PLLC located?
- Black Canyon Medical Group PLLC's practice location on file with NPPES is 426 Highway 16, Emmett, ID 83617-9461.
- What is Black Canyon Medical Group PLLC's phone number?
- The practice phone number listed in the NPPES registry for Black Canyon Medical Group PLLC is (208) 365-2735.
- Does Black Canyon Medical Group PLLC accept Medicare?
- Black Canyon Medical Group PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Black Canyon Medical Group PLLC?
- The authorized official listed on Black Canyon Medical Group PLLC's NPPES record is Tina Mcguffey, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Black Canyon Medical Group PLLC's NPI active?
- Yes — Black Canyon Medical Group PLLC's NPI (1811419708) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.