Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BLAIR O'SHIELDS GAULT
NPI 1003395385
Nurse Practitioner - Family in Spartanburg, SC

Active since August 08, 2018PECOS Enrolled
100 E WOOD ST, SPARTANBURG, SC 29303(864) 582-2411 Get Directions Write a Review

NPPES record last updated: October 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 28, 2026, May 4, 2026, Nov 21, 2018 and 1 more (4 updates tracked since 2018).

About Blair O'shields Gault NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAIR O'SHIELDS GAULT (NPI 1003395385) is an individual family provider in Spartanburg, South Carolina, licensed in South Carolina (22024) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Union Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1003395385
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBLAIR O'SHIELDS GAULT
Location Address100 E WOOD STSpartanburg, SC 29303-3004
Mailing AddressPo Box 2777723Atlanta, GA 30384-7723 · (864) 560-4123
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 8, 2018
Last NPPES UpdateOctober 19, 20264 updates tracked since enumeration
NPPES CertifiedOctober 19, 2026
✔ NPI 1003395385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SC · 22024
100 E WOOD ST, Spartanburg, SC 29303

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Blair O'shields Gault is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799037602
PECOS Enrollment IDI20181003003541
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Blair Gault reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
220 COLLEGE ST
Spartanburg, SC 29303

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Union Medical Center

Acute Care Hospitals · Union, SC
OwnershipVoluntary non-profit - Other
CMS Certification Number420108
Location322 West South StreetUnion, SC 29379 · Union County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
100 E WOOD ST, SUITE 301
SPARTANBURG, SC 29303
Surgery
100 E WOOD ST, SUITE 202
SPARTANBURG, SC 29303
Internal Medicine
100 E WOOD ST, SUITE 401
SPARTANBURG, SC 29303
Surgery
100 E WOOD ST, SUITE 202
SPARTANBURG, SC 29303
Internal Medicine
100 E WOOD ST, SUITE 401
SPARTANBURG, SC 29303
Internal Medicine
100 E WOOD ST, SUITE 401
SPARTANBURG, SC 29303
Nurse Practitioner
100 E WOOD ST, SUITE 401
SPARTANBURG, SC 29303
Nurse Practitioner
100 E WOOD ST, SUITE 202
SPARTANBURG, SC 29303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blair Gault's NPI number?

The NPI number for Blair Gault is 1003395385. It was assigned to this individual provider in the NPPES registry on August 8, 2018.

Where is Blair Gault located?

Blair Gault practices at 100 E Wood St, Spartanburg, SC 29303. The listed phone number is (864) 582-2411.

What is Blair Gault's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Blair Gault enrolled in Medicare?

Yes. Blair Gault is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Blair Gault's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blair Gault reassigns Medicare benefits to Regenesis Organization Community Health Center (Spartanburg, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Blair Gault's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Blair Gault accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of South Carolina and 3 other insurers list Blair Gault as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Blair Gault affiliated with any hospitals?

According to CMS data, Blair Gault is affiliated with Union Medical Center.

When was this NPI record last updated?

The NPPES record for Blair Gault was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.