SPARTANBURG MEDICAL CENTER (NPI# 1518498336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518498336 |
| Entity Type | Organization |
| Organization Name | SPARTANBURG MEDICAL CENTER |
| Practice Address |
2846 N Old Laurens Rd Gray Court SC 29645-3157 |
| Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
| Practice Telephone | 8645604868 |
| Practice Fax Number | 8645604870 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2018-01-26 |
| Authorized Official Name | KENNETH MEINKE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8645606000 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPARTANBURG REGIONAL HEATH SERVICES DISTRICT, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE PIN | 5019 | 01 |
| SC | GP8144 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386205094 | Spartanburg Medical Center | Pediatrics | 575 Ingles Dr Ste A, Inman, SC 29349-8314 | 2019-06-24 |
| 1780248211 | Spartanburg Medical Center | Urology | 2755 S Highway 14 Ste 2050a, Greer, SC 29650-4902 | 2019-04-30 |
| 1205499217 | Spartanburg Medical Center | Internal Medicine | 104 Professional Park Ste C, Gaffney, SC 29340-2319 | 2019-04-16 |
| 1649735127 | Spartanburg Medical Center | Family Medicine | 11 Doctors Park Dr Ste 200, Spartanburg, SC 29307-1008 | 2019-02-08 |
| 1316416415 | Spartanburg Medical Center | Orthopaedic Surgery | 1650 Skylyn Dr Ste 120, Spartanburg, SC 29307-1069 | 2018-11-19 |
| 1609345982 | Spartanburg Medical Center | Urology | 1552 N Limestone St Ste A, Gaffney, SC 29340-4750 | 2018-11-16 |
| 1316416688 | Spartanburg Medical Center | Internal Medicine | 104 Professional Park Ste B, Gaffney, SC 29340-2319 | 2018-11-16 |
| 1396220554 | Spartanburg Medical Center | Surgery | 840 W Floyd Baker Blvd Ste B, Gaffney, SC 29341-1845 | 2018-10-03 |
| 1114432077 | Spartanburg Medical Center | Orthopaedic Surgery | 2755 S Highway 14 Ste 1200m, Greer, SC 29650 | 2017-12-13 |
| 1588049662 | Spartanburg Medical Center | Internal Medicine | 408 North Duncan By Pass, Suite L, Union, SC 29379 | 2015-07-30 |
| Street Address |
2846 N OLD LAURENS RD |
| City | GRAY COURT |
| State | SC |
| Zip Code | 29645-3157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740788066 | Zivitski Health Group LLC | Pharmacy | 345 W Main Street, Gray Court, SC 29645 | 2018-02-01 |
| 1053756072 | Joan Williams Greene | Speech-Language Pathologist | 9210 Hwy 14, Gray Court, SC 29645 | 2013-05-03 |
| 1215064571 | Gray Court Pharmacy | Pharmacy | 345 West Main St, Gray Court, SC 29645 | 2007-02-27 |
| 1871192674 | Mlc Homecare LLC | In Home Supportive Care | 363 W Main St, Gray Court, SC 29645 | 2020-10-22 |
| 1346622883 | Nathanael Ricardo Benitez | Family Medicine | 9100 Highway 14, Gray Court, SC 29645 | 2015-06-21 |
| 1356745277 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 9032 Highway 14, Gray Court, SC 29645-4151 | 2014-10-21 |
| 1558305029 | Christopher Todd Nelson | Family Medicine | 9100 Highway 14, Gray Court, SC 29645-4152 | 2006-06-15 |
| 1396306478 | Brittany Edge Thomas | Nurse Practitioner | 9100 Highway 14, Gray Court, SC 29645-4152 | 2019-06-27 |
| 1700239787 | Prisma Health-upstate | Clinic/Center | 9100 Highway 14, Gray Court, SC 29645-4152 | 2016-07-14 |
| 1427440809 | Greenville Health System | Clinic/Center | 9100 Highway 14, Gray Court, SC 29645-4152 | 2015-02-23 |
| Find all providers in zip 29645 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558305029 | Christopher Todd Nelson | Family Medicine | 9100 Highway 14, Gray Court, SC 29645-4152 | 2006-06-15 |
| 1346622883 | Nathanael Ricardo Benitez | Family Medicine | 9100 Highway 14, Gray Court, SC 29645 | 2015-06-21 |
| 1609812189 | Michael Raymond Meeks | Family Medicine | 9100 Highway 14, Gray Court, SC 29645-4152 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495841 | Neuro Health Sc LLC | Family Medicine | 108 Commons Blvd Ste A, Piedmont, SC 29673-7766 | 2020-10-21 |
| 1811595499 | Laura Coolidge | Family Medicine | 1528 Seacroft Rd, Charleston, SC 29412-8113 | 2020-10-15 |
| 1154928570 | Lexington Health Inc | Family Medicine | 146 E Hospital Dr Ste 500, West Columbia, SC 29169-4842 | 2020-10-08 |
| 1477150340 | Meghan Hodapp | Family Medicine | 623 Awendaw Lakes Blvd, Awendaw, SC 29429-6407 | 2020-10-05 |
| 1033716253 | Proactive Md Tindall Spartanburg Health Center | Family Medicine | 2273 Hayne St., Spartanburg, SC 29301 | 2020-10-01 |
| 1851906267 | Avneet Nagra | Family Medicine | 162 Montauk Dr, Lexington, SC 29072-6776 | 2020-09-11 |
| 1134732753 | Ovp Health Care, Inc. | Family Medicine | 101 S Catawba St, Lancaster, SC 29720-2411 | 2020-08-24 |
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1841801149 | Palmetto Primary Care Physicians, LLC | Family Medicine | 1200 Two Island Ct Unit E, Mt Pleasant, SC 29466-7418 | 2020-08-11 |
| 1922617950 | Fred E Hill | Family Medicine | 1033 Jervey Point Rd, Charleston, SC 29492-8372 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
| City | GRAY COURT |
| Zip Code | 29645 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.