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

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: October 25, 2026.

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

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
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.
1083 BOILING SPRINGS RD, Spartanburg, SC 29303

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medical Group Of The Carolinas Cardiology - Pelham is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

753

Medicare enrollment records show 753 clinicians reassign Medicare billing to Medical Group Of The Carolinas Cardiology - Pelham, which bills Medicare for the services they deliver. Of these, 23 practice at this address and 344 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 33

Internal Medicine144
Nurse Practitioner139
Diagnostic Radiology91
Emergency Medicine86
Family Practice74
Certified Registered Nurse Anesthetist (CRNA)56
Anesthesiology39
Hospitalist33
25 other specialties91

Nearest to this location (20)

See all 753
Cardiac Electrophysiology
NPI 1811135908
1083 BOILING SPRINGS RD
Spartanburg, SC 29303
(864) 583-8647
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1164007381
1083 BOILING SPRINGS RD
Spartanburg, SC 29303
(864) 583-8647
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1386387934
1083 BOILING SPRINGS RD
Spartanburg, SC 29303
(864) 583-8647
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1639494339
1083 BOILING SPRINGS RD
Spartanburg, SC 29303
(864) 583-8647
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1184195380
1083 BOILING SPRINGS RD
Spartanburg, SC 29303
(864) 583-8647
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1790580033
1083 BOILING SPRINGS RD
Spartanburg, SC 29303
(864) 583-8647
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1124401609
1083 BOILING SPRINGS RD
Spartanburg, SC 29303
(864) 583-8647
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1053016261
1083 BOILING SPRINGS RD
Spartanburg, SC 29303
(864) 583-8647
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1780636381
1083 BOILING SPRINGS RD
Spartanburg, SC 29303
(864) 583-8647
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1417398843
1083 BOILING SPRINGS RD
Spartanburg, SC 29303
(864) 583-8647
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1588806772
1083 BOILING SPRINGS RD
Spartanburg, SC 29303
(864) 699-4109
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1235388224
1083 BOILING SPRINGS RD
Spartanburg, SC 29303
(864) 583-8647
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1821631912
1083 BOILING SPRINGS RD
Spartanburg, SC 29303
(864) 583-8647
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1639126733
1083 BOILING SPRINGS RD
Spartanburg, SC 29303
(864) 583-8647
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1669426987
1083 BOILING SPRINGS RD
Spartanburg, SC 29303
(864) 583-8647
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1336593276
1083 BOILING SPRINGS RD
Spartanburg, SC 29303
(864) 583-8647
✔ PECOS✔ Accepts MedicareSame address
Cardiac Electrophysiology
NPI 1215983887
1083 BOILING SPRINGS RD
Spartanburg, SC 29303
(864) 583-8647
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1023065828
1083 BOILING SPRINGS RD
Spartanburg, SC 29303
(864) 583-8647
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1558623892
1083 BOILING SPRINGS RD
Spartanburg, SC 29303
(864) 583-8647
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1033159678
1083 BOILING SPRINGS RD
Spartanburg, SC 29303
(864) 583-8647
✔ PECOS✔ Accepts MedicareSame address
See all 753 clinicians

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

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.

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 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.

Where is Spartanburg Medical Center located?

Spartanburg Medical Center is located at 1083 Boiling Springs Rd, Spartanburg, SC 29303. The listed phone number is (864) 583-8647.

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.

Is Spartanburg Medical Center enrolled in Medicare?

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

How many clinicians bill Medicare through Spartanburg Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 753 clinicians in 33 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 Internal Medicine (144), Nurse Practitioner (139) and Diagnostic Radiology (91). Of these, 23 practice at this address and 344 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Spartanburg Medical Center hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Spartanburg Medical Center accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 2 other insurers 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 July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.