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

Shanekkia Black, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164928545

Shanekkia Black, MD is an Internal Medicine in Austell, Georgia. Graduated from Morehouse School of Medicine in 2018, 8 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
8
Trained at
Morehouse School of Medicine
Licensed in
GA
In the registry since
2018
Specialties on file
2
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

1605 Mulkey Rd Ste 220
Austell, GA 30106-1127
Phone: (470) 956-3760
Fax: (678) 398-1930
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3825 Medical Park Dr Ste 201, Austell, GA 30106-6831 — (779) 941-8100

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 89381 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1164928545
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2018
Last updated in NPPESApril 19, 2023
Certification dateApril 19, 2023

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolMOREHOUSE SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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