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

Mrs. Lacie Black, NP-C

Individual provider Nurse Practitioner · NPI 1336784370

Mrs. Lacie Black, NP-C is a Nurse Practitioner in Chattanooga, Tennessee. Qualified in 2019, 7 years ago. Practices with Chattanooga Orthopaedic Group, PC, a 71-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
7
Licensed in
TN
In the registry since
2019
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

2415 McCallie Ave
Chattanooga, TN 37404-3322
Phone: (423) 624-2696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 26228 (TN)

Record details

NPI number1336784370
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedNovember 13, 2019
Last updated in NPPESFebruary 13, 2020
Certification dateFebruary 13, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Chattanooga Orthopaedic Group, Pc — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Chattanooga