MARY BLACK PHYSICIANS GROUP, LLC (NPI# 1740425305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740425305 |
| Entity Type | Organization |
| Organization Name | MARY BLACK PHYSICIANS GROUP, LLC |
| Other Organization Name | FAMILY PRACTICE ASSOCIATES |
| Practice Address |
429 E Main St Union SC 29379-1902 |
| Mailing Address |
Po Box 277827 Atlanta GA 30384-7827 |
| Practice Telephone | 8644279045 |
| Mailing Telephone | 8642538080 |
| Mailing Fax Number | 8645825188 |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2008-12-11 |
| Authorized Official Name | DEBBIE BREWER (DIRECTOR PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 6154657626 |
| Is Organization Subpart | Y |
| Parent Organization Name | MARY BLACK PHYSICIANS GROUP, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP4766 | 05 |
| Other Name | Type Code |
|---|---|
| Family Practice Associates | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295819415 | Mary Black Physicians Group, LLC | Clinic/Center | 500 Squire's Pointe, Duncan, SC 29334-8867 | 2006-10-24 |
| 1669554630 | Mary Black Physicians Group, LLC | Clinic/Center | 702 S Alabama Ave, Chesnee, SC 29323-1706 | 2006-10-19 |
| 1013152669 | Mary Black Physicians Group, LLC | Internal Medicine | 1690 Skylyn Dr, Suite 300, Spartanburg, SC 29307-1022 | 2008-12-11 |
| 1962647438 | Mary Black Physicians Group, LLC | Family Medicine | 1690 Skylyn Dr, Suite 210, Spartanburg, SC 29307-1022 | 2008-12-11 |
| 1598900078 | Mary Black Physicians Group, LLC | Family Medicine | 722 Hyatt St, Suite C, Gaffney, SC 29341-2643 | 2008-12-11 |
| 1487899969 | Mary Black Physicians Group, LLC | Pediatrics | 500 Squires Pt, Suite A, Duncan, SC 29334-8867 | 2008-12-11 |
| 1740425222 | Mary Black Physicians Group, LLC | Physical Medicine & Rehabilitation | 1700 Skylyn Dr, Spartanburg, SC 29307-1041 | 2008-12-11 |
| 1326283896 | Mary Black Physicians Group, LLC | Internal Medicine | 2995 Reidville Rd, Suite 210, Spartanburg, SC 29301-5628 | 2008-12-11 |
| 1053556522 | Mary Black Physicians Group, LLC | Family Medicine | 1250 John B White Sr Blvd, Spartanburg, SC 29306-3929 | 2008-12-11 |
| 1295970770 | Mary Black Physicians Group, LLC | Surgery | 1690 Skylyn Dr, Suite 140, Spartanburg, SC 29307-1022 | 2008-12-11 |
| Street Address |
429 E MAIN ST |
| City | UNION |
| State | SC |
| Zip Code | 29379-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346261690 | Robert M. Wentz | Family Medicine | 429 E Main St, Union, SC 29379-1902 | 2006-07-22 |
| 1336615095 | Zilris, Inc. | Counselor | 429 E Main St, Union, SC 29379-1902 | 2018-10-22 |
| 1881079093 | Spartanburg Medical Center | Nurse Practitioner | 429 E Main St, Union, SC 29379-1902 | 2015-07-29 |
| 1346576360 | Union Hospital District | Clinic/Center | 429 E Main St, Union, SC 29379-1902 | 2009-10-27 |
| 1255570669 | Union Hospital District | Family Medicine | 429 E Main St, Union, SC 29379-1902 | 2009-02-09 |
| 1639254683 | Mary Black Physicians Group LLC | Clinic/Center | 429 E Main St, Union, SC 29379-1902 | 2006-10-26 |
| 1467473728 | Family Practice Associates, Pa | Family Medicine | 429 E Main St, Union, SC 29379-1902 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780049072 | Dorothy Craig | Social Worker | 201 Herndon, Union, SC 29379 | 2015-12-31 |
| 1588049662 | Spartanburg Medical Center | Internal Medicine | 408 North Duncan By Pass, Suite L, Union, SC 29379 | 2015-07-30 |
| 1891045118 | Crystal Berry Earls | Pharmacist | 109 Beechtree Place, Union, SC 29379 | 2012-09-13 |
| 1871732271 | Union Hospital District Dba Cha Family Medicine | Family Medicine | 801 West Main St, Union, SC 29379 | 2009-02-10 |
| 1336388735 | Union Hospital District | Internal Medicine | 408 N Duncan By Pass, Suite L, Union, SC 29379 | 2009-02-10 |
| 1215185178 | Oakmont of Union Sc LLC | Assisted Living Facility | 709 Rice Street, Union, SC 29379 | 2008-09-04 |
| 1700072444 | Union Hospital District | Obstetrics & Gynecology | 720 South Duncan Bypass, Suite C, Union, SC 29379 | 2007-09-17 |
| 1154449130 | Whitney Connolly Leary | Speech-Language Pathologist | 720 A South Duncan Bypass, Union, SC 29379 | 2007-03-27 |
| 1467577353 | Kathryn Cook Scales | Counselor | 323 W South Street, Union, SC 29379 | 2007-03-20 |
| 1104957901 | Owen K Woolever | Physical Therapist | 720 A S Duncan Bypass, Union, SC 29379 | 2007-03-07 |
| Find all providers in zip 29379 | ||||
| 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 |
|---|---|---|---|---|
| 1104325984 | Vama Medical Health Center | Family Medicine | 113 Plum Tree Ln, Union, NJ 07083-5553 | 2018-02-07 |
| 1740718220 | Afnan Talat | Family Medicine | 2317 Center Island, Route 22, Union, NJ 07083 | 2017-05-30 |
| 1538459698 | Tiffany Elizabeth Marie Toliver | Family Medicine | 1000 Galloping Hill Rd Ste 108, Union, NJ 07083 | 2011-04-11 |
| 1871732271 | Union Hospital District Dba Cha Family Medicine | Family Medicine | 801 West Main St, Union, SC 29379 | 2009-02-10 |
| 1851546352 | Alina Borkowska | Family Medicine | 1050 Galloping Hill Rd Ste 204, Union, NJ 07083-7980 | 2008-11-25 |
| 1114194156 | Mohammad Fattal | Family Medicine | 2575 Saint Charles Cir, Union, KY 41091-8696 | 2008-05-09 |
| 1427242882 | James Monroe Wellness Center | Family Medicine | 200 Health Center Dr, Union, WV 24983 | 2007-08-29 |
| 1134326010 | Kafilat Adewunmi | Family Medicine | 2333 Morris Ave Ste A117, Union, NJ 07083 | 2007-07-02 |
| 1033261383 | Gelderman Medical Care, Inc. | Family Medicine | 219 South Dunlap Street, Union, WV 24983-0500 | 2007-01-17 |
| 1316005101 | Union Family Medicine | Family Medicine | 2300 Vauxhall Road, Suite C, Union, NJ 07083 | 2006-12-05 |
| Find all providers in UNION | ||||
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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.