MEDICAL GROUP OF THE CAROLINAS - DERMATOLOGY
NPI 1053724450
Dermatology in Spartanburg, SC

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

The NPI number for Spartanburg Medical Center is 1053724450. It was assigned to this organization in the NPPES registry on June 4, 2014. The provider is doing business as Medical Group Of The Carolinas - Dermatology.

Q: What is Spartanburg Medical Center's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since June 04, 2014

391 SERPENTINE DR, SUITE 300, SPARTANBURG, SC 29303(864) 560-9716(864) 560-9715 Get Directions Write a Review

NPPES record last updated: October 3, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Medical Group Of The Carolinas - Dermatology NPPES

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

MEDICAL GROUP OF THE CAROLINAS - DERMATOLOGY (NPI 1053724450) is a healthcare organization registered as a dermatology in Spartanburg, South Carolina and active in the NPI registry since June 2014. The organization lists Kenneth Meinke, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1053724450

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameSPARTANBURG MEDICAL CENTER

Location Address391 SERPENTINE DR, SUITE 300Spartanburg, SC 29303-3080

Mailing AddressPo Box 2168Spartanburg, SC 29304-2168 · (864) 560-4304 · Fax (864) 560-4413

Phone(864) 560-9716

Fax(864) 560-9715

Organization SubpartYesParent: Spartanburg Regional Health Services District, Inc.

Authorized OfficialKenneth MeinkeChief Financial Officer · (864) 560-6000

Enumeration DateJune 4, 2014

Last NPPES UpdateOctober 3, 2014

✔ NPI 1053724450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

391 SERPENTINE DR, Spartanburg, SC 29303

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Other Names 1

Doing Business AsMedical Group Of The Carolinas - Dermatology

Other Identifiers 2

Medicare PIN7652SC

MedicaidGP6482SC

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

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 - Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

308

Medicare enrollment records show 308 clinicians reassign Medicare billing to Medical Group Of The Carolinas - Dermatology, which bills Medicare for the services they deliver. Of these, 17 practice at this address and 132 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 26

Certified Registered Nurse Anesthetist (CRNA)70

Obstetrics/Gynecology51

Anesthesiology44

Nurse Practitioner43

Psychiatry19

Orthopedic Surgery18

General Surgery17

Family Practice10

18 other specialties36

Nearest to this location (20)

See all 308

Shawn Birchenough, MD

Plastic and Reconstructive Surgery

NPI 1518172972

391 SERPENTINE DR SUITE 250
Spartanburg, SC 29303

(864) 560-6717

✔ PECOS✔ Accepts MedicareSame address

Eve Fields, MD

Psychiatry

NPI 1417052234

391 SERPENTINE DR STE 400
Spartanburg, SC 29303

(864) 560-7517

✔ PECOS✔ Accepts MedicareSame address

Devonne Gerstenacker, NP

Nurse Practitioner

NPI 1558886739

391 SERPENTINE DR STE 400
Spartanburg, SC 29303

(864) 560-7517

✔ PECOS✔ Accepts MedicareSame address

Ryan Greene, M.D.

Psychiatry

NPI 1104231505

391 SERPENTINE DR STE 400
Spartanburg, SC 29303

(864) 560-7517

✔ PECOS✔ Accepts MedicareSame address

Jayme Hodges, LCSW / LISW-CP

Clinical Social Worker

NPI 1174939144

391 SERPENTINE DR
Spartanburg, SC 29303

(864) 560-7517

✔ PECOS✔ Accepts MedicareSame address

Kristen Klimbal, APRN

Nurse Practitioner

NPI 1083099857

391 SERPENTINE DR SUITE 400
Spartanburg, SC 29303

(864) 560-7517

✔ PECOS✔ Accepts MedicareSame address

Deana Mcreynolds, D.O.

Psychiatry

NPI 1386879377

391 SERPENTINE DR STE 400
Spartanburg, SC 29303

(864) 560-7517

✔ PECOSSame address

Michael Orseck, MD

Plastic and Reconstructive Surgery

NPI 1952326365

391 SERPENTINE DR SUITE 250
Spartanburg, SC 29303

(864) 560-7070

✔ PECOS✔ Accepts MedicareSame address

Nicole Pierce, LISW-CP

Clinical Social Worker

NPI 1912279837

391 SERPENTINE DR
Spartanburg, SC 29303

(864) 560-7517

✔ PECOS✔ Accepts MedicareSame address

Hana San Esteban, MD

Psychiatry

NPI 1124654058

391 SERPENTINE DR STE 400
Spartanburg, SC 29303

(864) 560-7517

✔ PECOS✔ Accepts MedicareSame address

Charlotte Stephens, APRN, DNP, FNP

Nurse Practitioner

NPI 1396799631

391 SERPENTINE DR SUITE 400
Spartanburg, SC 29303

(864) 560-7517

✔ PECOS✔ Accepts MedicareSame address

Pilar Turner, NP

Nurse Practitioner

NPI 1396509832

391 SERPENTINE DR STE 400
Spartanburg, SC 29303

(864) 560-7517

✔ PECOS✔ Accepts MedicareSame address

Patrick Whitfield, NP

Nurse Practitioner

NPI 1992354393

391 SERPENTINE DR STE 400
Spartanburg, SC 29303

(864) 560-7517

✔ PECOS✔ Accepts MedicareSame address

Brooke Wilcox, PMHNP

Nurse Practitioner

NPI 1386308138

391 SERPENTINE DR STE 400
Spartanburg, SC 29303

(864) 560-7517

✔ PECOS✔ Accepts MedicareSame address

Craig Williams, PH.D.

Clinical Psychologist

NPI 1982948410

391 SERPENTINE DR SUITE 400
Spartanburg, SC 29303

(864) 560-7517

✔ PECOS✔ Accepts MedicareSame address

Kyle Chinsky, DO, MS, BS

Psychiatry

NPI 1053060343

391 SERPENTINE DR STE 400
Spartanburg, SC 29303

(864) 560-7517

✔ PECOSSame address

Campbell Connell, DO

Psychiatry

NPI 1629658190

391 SERPENTINE DR STE 400
Spartanburg, SC 29303

(864) 560-7517

✔ PECOSSame address

Heather Allen, MD

Radiation Oncology

NPI 1801965793

101 E WOOD ST
Spartanburg, SC 29303

(864) 560-6917

✔ PECOS✔ Accepts Medicare0.1 mi

Thomas Ashley, MD

General Surgery

NPI 1780684456

101 E WOOD ST
Spartanburg, SC 29303

(864) 560-1576

✔ PECOS✔ Accepts Medicare0.1 mi

Rowena Desailly Chanson, MD

Neurology

NPI 1902908387

101 E WOOD ST
Spartanburg, SC 29303

(864) 560-6654

✔ PECOS✔ Accepts Medicare0.1 mi

See all 308 clinicians

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 1053724450. It was assigned to this organization in the NPPES registry on June 4, 2014. The provider is doing business as Medical Group Of The Carolinas - Dermatology.

Where is Spartanburg Medical Center located?

Spartanburg Medical Center is located at 391 Serpentine Dr Suite 300, Spartanburg, SC 29303. The listed phone number is (864) 560-9716.

What is Spartanburg Medical Center's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

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), 308 clinicians in 26 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 Certified Registered Nurse Anesthetist (CRNA) (70), Obstetrics/Gynecology (51) and Anesthesiology (44). Of these, 17 practice at this address and 132 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Spartanburg Medical Center was last updated on October 3, 2014. 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.