Mr. Trevor Elan Black
D.P.M. | Podiatrist | 12+ years Exp
Medicare Enrolled
20 Glenlake Pkwy, Kaiser Permanente Glenlake Medical Center, Atlanta
Georgia, 30328-3473
818-326-1058 Maps & DirectionsMr. Trevor Elan Black is a Atlanta, Georgia based podiatrist with 12 years of experience in Podiatry. He completed his graduation in 2013. He is also affiliated with hospitals like Saint Joseph's Hospital Of Atlanta, Inc. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Trevor Elan Black for Podiatric Foot & Ankle Surgery is POD001289 in Georgia.
Mr. Trevor Elan Black is qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Mr. Trevor Elan Black speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Podiatry |
| Credentials: | D.P.M. |
| Experience: | 12+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2013 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 20 Glenlake Pkwy, Kaiser Permanente Glenlake Medical Center, Atlanta,
Georgia, 30328-3473 |
| Phone: | 818-326-1058 |
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: | 6002039690 |
| Enrollment ID: | I20170925002991 |
| NPI Number: | 1861835308 |
| NPI Enumeration Date: | 15 Apr, 2013 |
| NPI Last Update On: | 10 Jan, 2022 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Trevor Elan Black are as mentioned below.
| License Number | Specialization | State | Status | |
| POD001289 | Podiatric Foot & Ankle Surgery | Georgia | Primary | |
| Student in an Organized Health Care Education/Training Program | | Secondary | |
Hospital Affiliation:
Doctors are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| Saint Joseph's Hospital Of Atlanta, Inc (110082) | Atlanta, GA | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mr. Trevor Elan Black is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| The Southeast Permanente Medical Group (6204829013) | 622 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3495 Piedmont Rd Ne, Nine Piedmont Center
Atlanta, Georgia |
| Zip: | 30305-1717 |
| Phone Number: | 404-504-5678 |
| Fax Number: | -- |
Patients can reach Mr. Trevor Elan Black at
20 Glenlake Pkwy, Kaiser Permanente Glenlake Medical Center, Atlanta, Georgia or can
call to book an appointment on 818-326-1058.
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.