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MEDICAL GROUP OF THE CAROLINAS - FAMILY MEDICINE - CONVERSE HEIGHTS
NPI 1003900143
Family Medicine in Spartanburg, SC

Active since October 03, 2006
120 HEYWOOD AVE, SUITE 200, SPARTANBURG, SC 29302(864) 573-9595(864) 585-3752 Get Directions Write a Review

NPPES record last updated: December 10, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Medical Group Of The Carolinas - Family Medicine - Converse Heights NPPES

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

MEDICAL GROUP OF THE CAROLINAS - FAMILY MEDICINE - CONVERSE HEIGHTS (NPI 1003900143) is a healthcare organization registered as a family medicine in Spartanburg, South Carolina and active in the NPI registry since October 2006. The organization lists Kenneth Meinke, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1003900143
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSPARTANBURG MEDICAL CENTER
Location Address120 HEYWOOD AVE, SUITE 200Spartanburg, SC 29302-1210
Mailing AddressPo Box 2168Spartanburg, SC 29304-2168 · (864) 560-4304 · Fax (864) 560-4413
Phone(864) 573-9595
Fax(864) 585-3752
Organization SubpartYesParent: Spartanburg Regional Health Services District, Inc
Authorized OfficialKenneth MeinkeChief Financial Officer · (864) 560-6000
Enumeration DateOctober 3, 2006
Last NPPES UpdateDecember 10, 2013
✔ NPI 1003900143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
120 HEYWOOD AVE, Spartanburg, SC 29302
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Other Names 1

Doing Business AsMedical Group Of The Carolinas - Family Medicine - Converse Heights

Other Identifiers 5

OtherCN1627SC · Railroad Medicare Group #
MedicaidGP5638SC
MedicaidGP1118SC
Medicare PIN4722SC
Medicaid89014EGNC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medical Group Of The Carolinas - Family Medicine - Converse Heights is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateSouth CarolinaEnrollment IDO20061113000402Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Medical Group Of The Carolinas - Family Medicine - Converse Heights, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 12 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Family Practice10
Nurse Practitioner6
Internal Medicine1
Ophthalmology1

Clinicians, nearest first (18)

Scott Coley, M. D.
Family Practice
NPI 1184694168
120 HEYWOOD AVE SUITE 200
Spartanburg, SC 29302
(864) 573-9595
✔ PECOS✔ Accepts MedicareSame address
Alyssa Johnson, MD
Family Practice
NPI 1326789546
120 HEYWOOD AVE STE 200
Spartanburg, SC 29302
(864) 573-9595
✔ PECOS✔ Accepts MedicareSame address
Natalie Kellett
Nurse Practitioner
NPI 1376995159
120 HEYWOOD AVENUE SUITE 200
Spartanburg, SC 29302
(864) 573-9595
✔ PECOS✔ Accepts MedicareSame address
Philip Mahoney, MD
Family Practice
NPI 1194779017
120 HEYWOOD AVE
Spartanburg, SC 29302
(864) 562-5102
✔ PECOS✔ Accepts MedicareSame address
Vincent Slater, D.O.
Family Practice
NPI 1306000948
120 HEYWOOD AVE
Spartanburg, SC 29302
(864) 573-9595
✔ PECOS✔ Accepts MedicareSame address
Sheryl Bankston, FNP-BC
Nurse Practitioner
NPI 1972859130
1200 E MAIN ST SUITE 12
Spartanburg, SC 29307
(864) 560-9260
✔ PECOS✔ Accepts Medicare0.7 mi
Ginger Boyle, M.D.
Family Practice
NPI 1043298011
1200 E MAIN ST SUTE 12
Spartanburg, SC 29307
(864) 560-9260
✔ PECOS✔ Accepts Medicare0.7 mi
Tara Wheeler, D.O.
Family Practice
NPI 1104213677
333 S PINE ST
Spartanburg, SC 29302
(864) 577-9970
✔ PECOS✔ Accepts Medicare0.8 mi
Howard Bean, MD
Family Practice
NPI 1760434120
1690 SKYLYN DRIVE SUITE 210
Spartanburg, SC 29307
(864) 253-8170
✔ PECOS✔ Accepts Medicare1.7 mi
Cory Foster, RN
Nurse Practitioner
NPI 1083950935
1330 BOILING SPRINGS RD STE 2500
Spartanburg, SC 29303
(864) 585-5433
✔ PECOS✔ Accepts Medicare2.9 mi
Heather Stokes, NP
Nurse Practitioner
NPI 1124583117
1330 BOILING SPRINGS RD STE 2500
Spartanburg, SC 29303
(864) 585-5433
✔ PECOS✔ Accepts Medicare2.9 mi
Alyssa Jackson, DNP, APRN, FNP-BC
Nurse Practitioner
NPI 1649895251
575 INGLES DR
Inman, SC 29349
(864) 342-4090
✔ PECOS✔ Accepts Medicare9.0 mi
Manuel Dorna-Pesquera, MD
Family Practice
NPI 1689650376
135 COMMONWEALTH DR. STE. 100
Greenville, SC 29615
(864) 263-4444
✔ PECOS✔ Accepts Medicare24 mi
Jamie Kilcoyne, NP
Nurse Practitioner
NPI 1316293947
525 VERDAE BLVD STE 150
Greenville, SC 29607
(864) 516-1783
✔ PECOS✔ Accepts Medicare25 mi
Joshua Holmes, MD
Family Practice
NPI 1639581119
311 MAIN ST
Greenwood, SC 29646
(864) 229-4446
✔ PECOS✔ Accepts Medicare55 mi
Janessa Perez Motlis, M.D.
Family Practice
NPI 1164865473
12016 N RADIO STATION RD
Seneca, SC 29678
(864) 882-6141
✔ PECOS✔ Accepts Medicare64 mi
James Thompson, MD
Internal Medicine
NPI 1881666790
190 N CHARLES RICHARD BEALL BLVD
Debary, FL 32713
(386) 917-7670
✔ PECOS✔ Accepts Medicare421 mi
Malav Joshi, M.D.
Ophthalmology
NPI 1285948265
14120 NORTHWEST BLVD
Corpus Christi, TX 78410
(361) 737-0600
✔ PECOS✔ Accepts Medicare1,049 mi

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

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 Spartanburg Medical Center's NPI number?

The NPI number for Spartanburg Medical Center is 1003900143. It was assigned to this organization in the NPPES registry on October 3, 2006. The provider is doing business as Medical Group Of The Carolinas - Family Medicine - Converse Heights.

Where is Spartanburg Medical Center located?

Spartanburg Medical Center is located at 120 Heywood Ave Suite 200, Spartanburg, SC 29302. The listed phone number is (864) 573-9595.

What is Spartanburg Medical Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Spartanburg Medical Center enrolled in Medicare?

Yes. Spartanburg Medical Center is registered in the Medicare PECOS enrollment system.

When is Spartanburg Medical Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (South Carolina, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Spartanburg Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 4 Medicare specialties reassign their Medicare billing to Spartanburg Medical Center. A 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 the clinician's services. The largest specialties are Family Practice (10), Nurse Practitioner (6) and Internal Medicine (1). Of these, 5 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Spartanburg Medical Center accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and InStil Health and 1 other insurer list Spartanburg Medical Center 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.

When was this NPI record last updated?

The NPPES record for Spartanburg Medical Center was last updated on December 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.