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

Katherine Black, MD

Individual provider Pediatrics Physician · NPI 1881056646

Katherine Black, MD is a Pediatrics Physician in Macon, Georgia. Licensed in Georgia and Tennessee. Registered with an NPI since 2016.

Licensed in
GA, TN
In the registry since
2016
Specialties on file
3
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

1062 Forsyth St Ste 2E
Macon, GA 31201-8631
Phone: (478) 633-7330
Fax: (478) 633-7360
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X · Licence 92412 (GA)
Pediatrics Physician Taxonomy 208000000X · Licence 92412 (GA)
Pediatrics Physician Taxonomy 208000000X · Licence 59619 (TN)

Record details

NPI number1881056646
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2016
Last updated in NPPESMarch 29, 2024
Certification dateMarch 29, 2024
Mailing address1062 Forsyth St Ste 2e, Macon, GA 31201-8631

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