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

Michael Anthony Black Sr., PA-C

Individual provider Physician Assistant · NPI 1003007311

Michael Anthony Black Sr., PA-C is a Physician Assistant in Spartanburg, South Carolina. Qualified in 2012, 14 years ago. Practices with Novant Health Urgent Cares LLC, a 184-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina and Washington.

Years since qualifying
14
Licensed in
SC, WA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1762 E Main St
Spartanburg, SC 29307-2231
Phone: (864) 591-2261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3600 Darnall Loop, Ft Hood, TX 76544 — (254) 286-7927

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3808 (SC)
Physician Assistant Taxonomy 363A00000X · Licence PA10004010 (WA)

Record details

NPI number1003007311
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 5, 2007
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Novant Health Urgent Cares Llc — 184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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