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

Timonthy Donell Black

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1992396022

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

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Mount Airy, NC

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 number1992396022
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 1, 2021
Last updated in NPPESMay 16, 2024
Certification dateMay 16, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Challie Minton, Md Pc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mount Airy