MEDICAL GROUP OF THE CAROLINAS CARDIOLOGY - PELHAM
NPI 1013781400
Internal Medicine - Cardiovascular Disease in Spartanburg, SC

Q: What is Spartanburg Medical Center's NPI number?

The NPI number for Spartanburg Medical Center is 1013781400. It was assigned to this organization in the NPPES registry on November 7, 2023. The provider is doing business as Medical Group Of The Carolinas Cardiology - Pelham, Medical Group of the Carolinas Cardiology - Skylyn and Medical Group of the Carolinas Cardiology - Spartanburg.

Q: What is Spartanburg Medical Center's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since November 07, 2023CLIA Certified · 2 labs

1083 BOILING SPRINGS RD, SPARTANBURG, SC 29303(864) 583-8647(864) 542-2227 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2024, Jun 27, 2024, Dec 7, 2023 and 1 more (4 updates tracked since 2023).

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About Medical Group Of The Carolinas Cardiology - Pelham NPPES

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

MEDICAL GROUP OF THE CAROLINAS CARDIOLOGY - PELHAM (NPI 1013781400) is a healthcare organization registered as a cardiovascular disease in Spartanburg, South Carolina and active in the NPI registry since November 2023. The organization holds 2 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Bruce A Davis, Evp / Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1013781400

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameSPARTANBURG MEDICAL CENTER

Location Address1083 BOILING SPRINGS RDSpartanburg, SC 29303-2248

Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413

Phone(864) 583-8647

Fax(864) 542-2227

Organization SubpartYesParent: Spartanburg Regional Health Services District, Inc.

Authorized OfficialBruce A DavisEvp / Chief Financial Officer · (864) 560-6000

Enumeration DateNovember 7, 2023

Last NPPES UpdateJuly 24, 20244 updates tracked since enumeration

NPPES CertifiedJuly 24, 2024

✔ NPI 1013781400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X

1083 BOILING SPRINGS RD, Spartanburg, SC 29303

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Other Names 3

Doing Business AsMedical Group Of The Carolinas Cardiology - Pelham

Doing Business AsMedical Group Of The Carolinas Cardiology - Skylyn

Doing Business AsMedical Group Of The Carolinas Cardiology - Spartanburg

Secondary Practice Locations 3

Location 12755 S Highway 14 Ste 2350Greer, SC 29650-4939 · Phone (864) 583-8647 · Fax (864) 542-2227

Location 21075 Boiling Springs Rd Ste ASpartanburg, SC 29303-2248 · Phone (864) 583-8647 · Fax (864) 542-2227

Location 31690 Skylyn Dr Ste 230Spartanburg, SC 29307-1075 · Phone (864) 583-8647 · Fax (864) 542-2227

Other Identifiers 4

MedicaidPG1805SC

MedicaidPG1807SC

MedicaidPG1806SC

Other5019SC · Medicare Pin

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 ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D0984977

Spartanburg Medical Center - Mary Black Campus · Spartanburg, SC

Active · expires Apr 3, 2027

CLIA Number42D0984977

Laboratory TypeHospital

Certificate Effective DateApril 4, 2025

Certificate Expiration DateApril 3, 2027

Laboratory DirectorTao Wang

Laboratory Phone(864) 573-3802

Laboratory LocationSpartanburg Medical Center - Mary Black Campus1700 Skylyn Drive, Spartanburg, SC 29307

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 42D0249994

Spartanburg Medical Center - Mary Black Campus · Spartanburg, SC

Active · expires Feb 8, 2027

CLIA Number42D0249994

Laboratory TypeHospital

Certificate Effective DateFebruary 9, 2025

Certificate Expiration DateFebruary 8, 2027

Laboratory DirectorDr. Tao Wang

Laboratory Phone(864) 573-3831

Laboratory LocationSpartanburg Medical Center - Mary Black Campus1700 Skylyn Dr, Spartanburg, SC 29307

CLIA data matches this NPI record on: Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

LARRY E KIBLER M.D.

Internal Medicine (Cardiovascular Disease)