Samuel A Black, MD, LLC
Samuel A Black, MD, LLC is a healthcare organization registered as Rehabilitation Practitioner in Sumter, SC, holding Type 2 (organization) NPI 1265529499 since 2006. The authorized official on file is Samuel Black, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1265529499 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Samuel A Black, MD, LLC |
| Practice address | 129 N WASHINGTON ST, Sumter, SC, 29150 |
| Phone | 8002280249 |
| Fax | 2522223602 |
| Enumeration date | 2006-10-09 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Samuel Black |
|---|---|
| Title | President |
| Phone | 8002280249 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | Primary | MD5514 | SC |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 055148 | Medicaid | SC | — |
Copy-ready billing details
Provider: Samuel A Black, MD, LLC NPI: 1265529499 Taxonomy: 225400000X (Rehabilitation Practitioner) Address: 129 N WASHINGTON ST, Sumter, SC, 29150
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1124020698 | Pamela Thompson-Knight | Individual | Certified Registered Nurse Anesthetist | Sumter, SC |
| 1003806266 | Terry Godfrey | Individual | Hospitalist Physician | Sumter, SC |
| 1003899121 | Johnny Chappell | Individual | Certified Registered Nurse Anesthetist | Sumter, SC |
| 1285611889 | Bret Fisher | Individual | Internal Medicine Physician | Sumter, SC |
| 1518936822 | Tuomey Obgyn Services LLC | Organization | Obstetrics & Gynecology Physician | Sumter, SC |
| 1942269253 | Timothy Wilson | Individual | Anesthesiology Physician | Sumter, SC |
| 1457315996 | Sumter Pathology Associates | Organization | Anatomic Pathology & Clinical Pathology Physician | Sumter, SC |
| 1932163466 | Omar Pinilla | Individual | Anatomic Pathology & Clinical Pathology Physician | Sumter, SC |
Verify this record
Cross-check NPI 1265529499 against the authoritative CMS record: view Samuel A Black, MD, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Samuel A Black, MD, LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.