CENTERWELL SENIOR PRIMARY CARE (SC) PC
NPI 1154974343
Internal Medicine in Spartanburg, SC

Q: What is Centerwell Senior Primary Care (sc) PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since July 17, 2019CLIA 42D2170947 · Waiver

1855 E MAIN ST STE 21A, SPARTANBURG, SC 29307(864) 913-4370(833) 994-1103 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 19, 2024, May 14, 2024, Nov 7, 2022 and 5 more (8 updates tracked since 2019).

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About Centerwell Senior Primary Care (sc) Pc NPPES

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

CENTERWELL SENIOR PRIMARY CARE (SC) PC (NPI 1154974343), doing business as Partners In Primary Care (sc) Pc, is a healthcare organization registered as an internal medicine in Spartanburg, South Carolina and active in the NPI registry since July 2019. The organization holds a CLIA Waiver certificate valid through August 21, 2027 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1154974343

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameCENTERWELL SENIOR PRIMARY CARE (SC) PC

Location Address1855 E MAIN ST STE 21ASpartanburg, SC 29307-2327

Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000

Phone(864) 913-4370

Fax(833) 994-1103

Organization SubpartYes

Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120

Enumeration DateJuly 17, 2019

Last NPPES UpdateAugust 19, 20248 updates tracked since enumeration

NPPES CertifiedAugust 19, 2024

✔ NPI 1154974343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedGeneral PracticeTaxonomy 208D00000X

1855 E MAIN ST STE 21A, Spartanburg, SC 29307

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Other Names 4

Former Legal Business NamePartners In Primary Care (sc) Pc

Doing Business AsCenterwell Senior Primary Care- Spartanburg

Doing Business AsPartners In Primary Care-spartanburg

Former Legal Business NamePartners In Pimary Care Nc Pc

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

CLIA Laboratory Certificates CMS CLIA

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 42D2170947

Centerwell Senior Primary Care - Spartanburg · Spartanburg, SC

Active · expires Aug 21, 2027

CLIA Number42D2170947

Laboratory TypePhysician Office

Certificate Effective DateAugust 22, 2025

Certificate Expiration DateAugust 21, 2027

Laboratory DirectorErica Savage-Jeter

Laboratory Phone(864) 913-4370

Laboratory LocationCenterwell Senior Primary Care - Spartanburg1855 East Main St Suite 21A, Spartanburg, SC 29307

CLIA data matches this NPI record on: Address Name Phone

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

Other Providers at the Same Location NPPES 6

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

MRS. CYNTHIA BISHOP HARRIS FNP-C

Nurse Practitioner (Family)