Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. John William Black, MD

Individual provider Diagnostic Radiology Physician · NPI 1023092095

Dr. John William Black, MD is a Diagnostic Radiology in Charlotte, North Carolina. Graduated from Georgetown University School of Medicine in 1990, 36 years ago. Practices with Mecklenburg Radiology Associates PA, a 94-clinician group and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
36
Trained at
Georgetown University School of Medicine
Licensed in
NC, SC
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3623 Latrobe Dr Ste 216
Charlotte, NC 28211
Phone: (704) 332-1291
Fax: (704) 332-5206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 96-01000 (NC)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 27821 (SC)

Record details

NPI number1023092095
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 2, 2005
Last updated in NPPESSeptember 13, 2020
Certification dateSeptember 13, 2020
Mailing addressPo Box 221249, Charlotte, NC 28222-1249

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice Mecklenburg Radiology Associates Pa — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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