SPARTANBURG MEDICAL CENTER (NPI# 1295824159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295824159 |
| Entity Type | Organization |
| Organization Name | SPARTANBURG MEDICAL CENTER |
| Other Organization Name | MEDICAL GROUP OF THE CAROLINAS - PSYCHIATRY |
| Practice Address |
391 Serpentine Dr Suite 400, Doctor's Center Spartanburg SC 29303-3096 |
| Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
| Practice Telephone | 8645607517 |
| Practice Fax Number | 8645607520 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2014-12-09 |
| Authorized Official Name | KENNETH MEINKE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8645606000 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP1118 | 05 | |
| NC | 89014YV | 05 | |
| SC | RAILROAD MEDICARE GROUP # | CN1627 | 01 |
| Other Name | Type Code |
|---|---|
| Medical Group of the Carolinas - Psychiatry | Doing Business As Name - Organization |
| 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 |
| 1518498336 | Spartanburg Medical Center | Family Medicine | 2846 N Old Laurens Rd, Gray Court, SC 29645-3157 | 2017-03-23 |
| Street Address |
391 SERPENTINE DR SUITE 400, DOCTOR'S CENTER |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29303-3096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528061561 | Richard Lee Conn | Surgery | 391 Serpentine Dr, Ste 250, Spartanburg, SC 29303-3080 | 2005-05-23 |
| 1245765841 | Christina L Blake | Registered Nurse | 391 Serpentine Dr, Suite 400, Spartanburg, SC 29303-3096 | 2017-04-21 |
| 1083099857 | Kristin Elena Klimbal | Nurse Practitioner | 391 Serpentine Dr, Suite 400, Spartanburg, SC 29303-3096 | 2015-07-22 |
| 1972997179 | Destiny Moore Moss | Nurse Practitioner | 391 Serpentine Dr, Suite 500, Spartanburg, SC 29303-3096 | 2015-03-25 |
| 1053724450 | Spartanburg Medical Center | Dermatology | 391 Serpentine Dr, Suite 300, Spartanburg, SC 29303-3080 | 2014-06-04 |
| 1831534486 | John Charles Barnett | Counselor | 391 Serpentine Dr, Suite 400, Spartanburg, SC 29303-3096 | 2013-05-08 |
| 1982948410 | Craig Stephen Williams | Psychologist | 391 Serpentine Dr, Suite 400, Spartanburg, SC 29303-3096 | 2012-11-21 |
| 1912279837 | Nicole Marcantonio Pierce | Social Worker | 391 Serpentine Dr, Spartanburg, SC 29303-3096 | 2012-02-08 |
| 1821226960 | Erin Anderson | Urology | 391 Serpentine Dr, Suite 500, Spartanburg, SC 29303-3096 | 2009-06-28 |
| 1629220132 | The Carolina Hand Center | Durable Medical Equipment & Medical Supplies | 391 Serpentine Dr, Suite 440, Spartanburg, SC 29303-3096 | 2008-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013532126 | Adam Joseph Fulcher | Family Medicine | Center for Family Medicine, 853 N. Church Street, Suite 510, Spartanburg, SC 29303 | 2020-06-15 |
| 1275011652 | Tri-state Medical Supplies, North Grove | Durable Medical Equipment & Medical Supplies | 1330 Boiling Springs Rd Ste 2900, Spartanburg, SC 29303 | 2018-07-30 |
| 1992227151 | Roxanne Pope | Speech-Language Pathologist | 290 N Grove Medical Park Dr., Spartanburg, SC 29303 | 2017-07-10 |
| 1861934879 | Cortney Redmond Mckinney I | Counselor | 250 Dewey Sve., Spartanburg, SC 29303 | 2016-11-08 |
| 1578011474 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 269 North Grove Medical Drive, Spartanburg, SC 29303 | 2016-09-20 |
| 1023477536 | Whitney Brooke Terry | Physician Assistant | 391 Serpentine Dr Ste 250, Spartanburg, SC 29303 | 2016-02-12 |
| 1306244348 | Medcare Urgent Care Spartanburg, LLC | Clinic/Center | 301 E Wood Street, Spartanburg, SC 29303 | 2014-12-08 |
| 1508201393 | Tom Ju | Anesthesiology | 1330 Boiling Springs Rd Ste 2700, Spartanburg, SC 29303 | 2013-05-07 |
| 1295072312 | Marie O'dell | Registered Nurse | 7 698 Howard Street, Spartanburg School District, Spartanburg, SC 29303 | 2013-01-09 |
| 1518203330 | Sherard Hamilton Ansley | Speech-Language Pathologist | 698 Howard St., Spartanburg School District 7, Spartanburg, SC 29303 | 2012-12-26 |
| Find all providers in zip 29303 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588755938 | Laurel Andrea Weston | Psychiatry & Neurology | 250 Dewey Avenue, Spartanburg, SC 29303 | 2006-09-28 |
| 1659324143 | James Alva Lamee | Psychiatry & Neurology | 269 S Church St, Ste 218, Spartanburg, SC 29306 | 2006-05-18 |
| 1114905130 | Eugene Freeman Smith | Psychiatry & Neurology | 250 Dewey Ave, Spartanburg, SC 29303-3009 | 2006-01-09 |
| 1992703128 | John Christopher Caston | Psychiatry & Neurology | 1330 Boiling Springs Rd, Suite 2800, Spartanburg, SC 29303 | 2005-07-12 |
| 1629424114 | Jared Williams Atkinson | Psychiatry & Neurology | 391 Serpentine Dr Ste 400, Spartanburg, SC 29303-3081 | 2016-05-13 |
| 1750744496 | Jennifer Reinovsky Mullett | Psychiatry & Neurology | 391 Serpentine Dr Ste 400, Spartanburg, SC 29303-3081 | 2016-03-31 |
| 1205121001 | Georges Antoine Hneich | Psychiatry & Neurology | 391 Serpentine Dr Ste 400, Spartanburg, SC 29303-3081 | 2011-06-09 |
| 1386879377 | Deana Jo Mcreynolds | Psychiatry & Neurology | 391 Serpentine Dr Ste 400, Spartanburg, SC 29303-3081 | 2009-05-20 |
| 1902086184 | Jeffrey Reynante | Psychiatry & Neurology | 391 Serpentine Dr, Suite 400, Spartanburg, SC 29303-3096 | 2007-11-06 |
| 1851482210 | Eric Karl Winter | Psychiatry & Neurology | 250 Dewey Ave, Spartanburg, SC 29303 | 2006-09-28 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29303 |
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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.