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

Kevin Hale Black, DDS, MD

Individual provider Emergency Medicine Physician · NPI 1003995085

Kevin Hale Black, DDS, MD is an Emergency Medicine in Charlotte, North Carolina. Qualified in 2022, 4 years ago. Practices with Carolinas Medical Center, a 1,062-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone: (704) 355-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 2025-01564 (NC)

Record details

NPI number1003995085
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MD
Sole proprietorNo
NPI enumeratedNovember 2, 2006
Last updated in NPPESAugust 28, 2025
Certification dateAugust 28, 2025

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Carolinas Medical Center — 1062 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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