Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Tracy Reymore Black, PA-C

Individual provider Physician Assistant · NPI 1033181193

Mrs. Tracy Reymore Black, PA-C is a Physician Assistant in Myrtle Beach, South Carolina. Qualified in 1989, 37 years ago. Practices with Metrolina Dermatology and Skin Surgery Specialists PLLC, a 39-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
37
Licensed in
NC
In the registry since
2006
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

8208 Devon Ct Ste B
Myrtle Beach, SC 29572
Phone: (704) 364-6110
Fax: (704) 364-4245
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 101218 (NC)

Record details

NPI number1033181193
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 3, 2006
Last updated in NPPESDecember 21, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Metrolina Dermatology And Skin Surgery Specialists Pllc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Myrtle Beach