Skip to content

Nicole Black, PA-C

NPI 1043874910ActiveIndividual· Physician Assistant· Marietta, GA

Physician Assistant (PA-C) with Marietta Dermatology Associates PA, practicing in Marietta, Georgia. Their prescriptions cost Medicare Part D more than their services did: $252,560 for 927 claims, against $72,970 paid for services in 2024. Genzyme Corporation was the largest of 7 companies reporting payments in 2025, $788.12 in all, mostly food and beverage.

Overview

NPI1043874910
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedApr 26, 2019
Last updated in NPPESAug 8, 2024
Certified by providerAug 8, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X9841GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (GA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients506
Services billed2,031 across 37 procedure codes
Paid by Medicare$72,970

Part D prescriptions in 2024

Prescriptions (claims)927 · 980 30-day fills
Patients424
Total drug cost$252,560
Generic share94% of claims

Medicare sources and data years

Education and affiliations

Graduation year2020
Medicare specialtyPhysician Assistant

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$788.12 · 27 payments from 7 companies
  • 2024$1,686 · 62 payments from 13 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$788.12 · 27 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Marietta

All 211 physician assistants in Marietta · All physician assistants in Georgia