Mary Black Health System LLC
NPI 1982612925ActiveOrganization· Family Medicine· Spartanburg, SC
Family Medicine in Spartanburg, South Carolina, registered in NPPES in August 2006, part of Mary Black Health System LLC. The authorized official on file is Debbie T. Brewer, Director Of Provider Enrollmetn.
Overview
| NPI | 1982612925 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Mary Black Health System LLC |
| NPI issued | Aug 4, 2006 |
| Last updated in NPPES | Jun 25, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Pediatrics | 208000000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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