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

John B Black, MD

Individual provider Diagnostic Radiology Physician · NPI 1548247729

John B Black, MD is a Diagnostic Radiology in Riverdale, Georgia. Graduated from Medical College of Georgia School of Medicine in 1983, 43 years ago. Practices with Summit Radiology Services P C, a 70-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
43
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2005
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

11 Uppr Riverdale RD SW
Riverdale, GA 30274-2615
Phone: (770) 991-8000
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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 031702 (GA)

Record details

NPI number1548247729
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 28, 2005
Last updated in NPPESJuly 18, 2012
Mailing addressPo Box 100041, Kennesaw, GA 30156-9241

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 1983 (43 years in practice)
Group practice Summit Radiology Services P C — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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