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

Paul Clifford Black, MD

Individual provider Family Medicine Physician · NPI 1285825836

Paul Clifford Black, MD is a Family Practice in Crossville, Tennessee. Qualified in 2005, 21 years ago. Practices with Covenant Medical Group Inc, a 356-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Missouri, Tennessee and Virginia.

Years since qualifying
21
Licensed in
MO, TN, VA
In the registry since
2007
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

100 Lantana Rd Ste 202
Crossville, TN 38555-1903
Phone: (931) 484-5141
Fax: (865) 374-2074
Show map & directions

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

Additional practice locations (2)

  • 1000 Gw Ln, Waynesville, MO 65583-2339 — (573) 774-2715
  • 390 Kane St, Gate City, VA 24251-2753 — (276) 386-3411

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2020030965 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0101244723 (VA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 44017 (TN)

Record details

NPI number1285825836
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 8, 2007
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Covenant Medical Group Inc — 356 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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