Mary Black Physicians Group, LLC
NPI 1568607190ActiveOrganization· Internal Medicine, Gastroenterology· Spartanburg, SC
Internal Medicine, Gastroenterology in Spartanburg, South Carolina, registered in NPPES in December 2008, part of Mary Black Physicians Group, LLC. The authorized official on file is Debbie Brewer, Director Provider Enrollment.
Overview
| NPI | 1568607190 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Mary Black Physicians Group, LLC |
| NPI issued | Dec 11, 2008 |
| Last updated in NPPES | Jan 8, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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