Timonthy Donell Black
Nurse Practitioner | 4+ years Exp
113 Scenic Outlet Ln Ste 2, Mount Airy
North Carolina, 27030-9978
336-352-4900
Timonthy Donell Black is a Mount Airy, North Carolina based nurse practitioner with 4 years of experience in Nurse Practitioner. He completed his graduation in 2021. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Timonthy Donell Black is 5014067 for Family in North Carolina. His current practice location is 113 Scenic Outlet Ln Ste 2, Mount Airy. Patients can reach him at 336-352-4900 or can fax him at 336-352-4901 with specialization in Nurse Practitioner and his NPI number (Unique professional ID assigned by NPPES) is 1992396022.
Timonthy Donell Black has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Timonthy Donell Black speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Timonthy Donell Black |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Male |
| Experience: | 4+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2021 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 113 Scenic Outlet Ln Ste 2, Mount Airy,
North Carolina, 27030-9978 |
| Phone: | 336-352-4900 |
| Fax: | 336-352-4901 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 8426466285 |
| Enrollment ID: | I20210415000191 |
| NPI Number: | 1992396022 |
| NPI Enumeration Date: | 01 Feb, 2021 |
| NPI Last Update On: | 16 May, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Timonthy Donell Black are as mentioned below.
| License Number | Specialization | State | Status | |
| 5014067 | Family | North Carolina | Primary | |
| Student in an Organized Health Care Education/Training Program | | Secondary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (340003) | Mount airy, NC | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Timonthy Donell Black is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Patrick County Family Practice Pc (0941232557) | 11 |
| Challie Minton, Md Pc (5597180802) | 6 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Timonthy Donell Black
1132 Carter Mountain Rd,
Stuart, Virginia |
| Zip: | 24171-3769 |
| Phone Number: | 336-345-6731 |
Patients can reach Timonthy Donell Black at
113 Scenic Outlet Ln Ste 2, Mount Airy, North Carolina or can
call to book an appointment on 336-352-4900.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.