Timonthy Donell Black
Timonthy Donell Black is a Nurse Practitioner in Mount Airy, North Carolina. Qualified in 2021, 5 years ago. Practices with Challie Minton, MD PC, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.
- Years since qualifying
- 5
- Licensed in
- NC
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
113 Scenic Outlet Ln Ste 2Mount Airy, NC 27030-9978
Phone: (336) 352-4900
Fax: (336) 352-4901
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1132 Carter Mountain Rd, Stuart, VA 24171-3769 — (336) 345-6731
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 5014067 (NC) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1992396022 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 1, 2021 |
| Last updated in NPPES | May 16, 2024 |
| Certification date | May 16, 2024 |
| Mailing address | 1132 Carter Mountain Rd, Stuart, VA 24171-3769 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Challie Minton, Md Pc — 9 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Mount Airy
-
Dr. Elizabeth Bond, MD
1016 S South St, Mount Airy, NC 27030-5330 · (336) 789-9176
-
Ashley Brooke Bowman, PHARMACYSTUDENT
722 W Independence Blvd, Mount Airy, NC 27030-3574 · (336) 789-9006
-
Carl Jon Buchholz, MD
1016 S South St, Mount Airy, NC 27030-5330 · (336) 783-8900
-
Roli Dabor, DDS
2151 Rockford St, Mount Airy, NC 27030-5205 · (336) 429-4146