MARY BLACK PHYSICIANS GROUP LLC (NPI# 1457555120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457555120 |
| Entity Type | Organization |
| Organization Name | MARY BLACK PHYSICIANS GROUP LLC |
| Practice Address |
108 W Rutherford St Landrum SC 29356-1526 |
| Practice Telephone | 8344754703 |
| Practice Fax Number | 8644572736 |
| Mailing Telephone | 8344754703 |
| Mailing Fax Number | 8644572736 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | V KAREN FLINN (VP) |
| Authorized Official Telephone | 2144733773 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164667283 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 5229 Hwy 221, Roebuck, SC 29376-3305 | 2008-12-03 |
| 1427276203 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 170 Camelot Dr, Spartanburg, SC 29301-2650 | 2007-04-24 |
| 1235357260 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 145 Dillon Dr # B, Spartanburg, SC 29307-1017 | 2007-04-23 |
| 1619339660 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 2995 Reidville Rd, Spartanburg, SC 29301-5628 | 2016-03-28 |
| 1093171332 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 722 Hyatt St, Suite D, Gaffney, SC 29341-2643 | 2015-12-31 |
| 1053556191 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 2995 Reidville Rd, Spartanburg, SC 29301-5628 | 2008-12-03 |
| 1053511766 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 2995 Reidville Rd, Ste 290, Spartanburg, SC 29301-5628 | 2007-07-20 |
| 1669672358 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 5470 N Main St, Cowpens, SC 29330-9705 | 2007-07-20 |
| 1336344852 | Mary Black Physicians Group LLC | Clinic/Center | 5229 Highway 221, Roebuck, SC 29376-3305 | 2007-06-15 |
| 1518187228 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 500 Squires Pt, Suite B, Duncan, SC 29334-8867 | 2007-04-26 |
| Street Address |
108 W RUTHERFORD ST |
| City | LANDRUM |
| State | SC |
| Zip Code | 29356-1526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679501621 | Linda Marie Woodfin-hightower | Nurse Practitioner | 108 W Rutherford St, Landrum, SC 29356-1526 | 2006-06-29 |
| 1831323831 | Landrum Family Health Care LLC | Clinic/Center | 108 W Rutherford St, Landrum, SC 29356-1526 | 2009-05-06 |
| 1952546434 | Mary Black Physicians Group, LLC | Nurse Practitioner | 108 W Rutherford St, Landrum, SC 29356-1526 | 2008-12-11 |
| 1255526364 | Landrum Family Healthcare Center, Pa | Clinic/Center | 108 W Rutherford St, Landrum, SC 29356-1526 | 2007-09-11 |
| 1689755118 | Joanne Louise Cahill | Nurse Practitioner | 108 W Rutherford St, Landrum, SC 29356-1526 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376039461 | Virginia Neely Todd | Dentist | 1730 Sc-14, Landrum, SC 29356 | 2018-07-02 |
| 1124378559 | Michael Stephen Millweard | Pharmacist | 303 Rutherford St., Landrum, SC 29356 | 2012-09-13 |
| 1679822514 | Steven Benjamin Searcy | Pharmacist | 303 East Rutherford St, Landrum, SC 29356 | 2012-09-06 |
| 1720315286 | Paul David Walters | Dentist | 502 East Rutherford St, Landrum, SC 29356 | 2009-11-04 |
| 1366606675 | Wood Creek Dental of Landrum, Pa | Dentist | 1730 Highway 14 East, Landrum, SC 29356 | 2008-07-16 |
| 1760602619 | Jeremy John Lafebre | Hearing Instrument Specialist | 1109c E Rutherford St, Landrum, SC 29356 | 2007-04-25 |
| 1790826139 | Byron L Richardson | Dentist | 1000 E Rutherford Rd, Dr Byron L Richardson, Landrum, SC 29356 | 2007-02-09 |
| 1649227133 | Landrum Drug Inc | Pharmacy | 104 W Rutherford Rd, Landrum, SC 29356 | 2006-05-28 |
| 1619948379 | Cornelius Todd Walter | Family Medicine | 133 N Howard Ave, Landrum, SC 29356 | 2006-01-31 |
| 1861411001 | Dialysis Clinic Inc. | Clinic/Center | 110 Asbury Dr, Landrum, SC 29356-1401 | 2006-07-19 |
| Find all providers in zip 29356 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831323831 | Landrum Family Health Care LLC | Clinic/Center | 108 W Rutherford St, Landrum, SC 29356-1526 | 2009-05-06 |
| 1255526364 | Landrum Family Healthcare Center, Pa | Clinic/Center | 108 W Rutherford St, Landrum, SC 29356-1526 | 2007-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508482050 | The Palmetto Clinics, LLC | Clinic/Center | 463 Calhoun Ave Ste A-2, Greenwood, SC 29649-2063 | 2020-06-21 |
| 1962969154 | The Palmetto Palace | Clinic/Center | 217 Flat St E, Allendale, SC 29810-4647 | 2019-02-25 |
| 1972014652 | Mcleod Physician Associates II | Clinic/Center | 1040 Marlboro Way Ste 1, Bennettsville, SC 29512-2494 | 2017-10-20 |
| 1508377284 | Mcleod Physician Associates II | Clinic/Center | 1076 Marlboro Way Ste 3, Bennettsville, SC 29512-2495 | 2017-10-20 |
| 1154786960 | R Dale Padgett Md Pa | Clinic/Center | 1727 Villagepark Dr, Orangeburg, SC 29118 | 2015-12-21 |
| 1043602428 | Greenville Health System | Clinic/Center | 208 Frontage Rd Ste 1, Clemson, SC 29631-1671 | 2015-02-23 |
| 1114204153 | Mcleod Physician Associates II | Clinic/Center | 5260 Highway 9, Green Sea, SC 29545-4930 | 2011-11-04 |
| 1700160157 | Mackey Family Practice, Pa | Clinic/Center | 8351 Charlotte Hwy, Suite 200, Indian Land, SC 29707-6552 | 2011-10-04 |
| 1588943021 | Edisto Regional Health Services Inc. | Clinic/Center | 185 Mcgee St, Bamberg, SC 29003-1154 | 2011-08-16 |
| 1124307509 | Coastal Carolina Medical Center, Inc | Clinic/Center | 10911 N Jacob Smart Blvd, D, Ridgeland, SC 29936-2729 | 2011-08-16 |
| Find all providers with the same taxonomy | ||||
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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.