SPARTANBURG EAR NOSE & THROAT, HEAD & NECK SURGERY PA
NPI 1225082019
Specialist in Spartanburg, SC

Active since May 19, 2006CLIA 42D2038266 · Waiver
1095 IRON ORE ROAD, SPARTANBURG, SC 29303(864) 582-2900(864) 582-4991 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 24, 2023, Apr 11, 2023, Apr 4, 2023 (3 updates tracked since 2023).

About Spartanburg Ear Nose & Throat, Head & Neck Surgery Pa NPPES

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

SPARTANBURG EAR NOSE & THROAT, HEAD & NECK SURGERY PA (NPI 1225082019) is a healthcare organization registered as a specialist in Spartanburg, South Carolina and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through March 15, 2028 and lists Allison Rodgers, Human Resources, as its authorized official.

NPPES Registry Identity

NPI1225082019
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSPARTANBURG EAR NOSE & THROAT, HEAD & NECK SURGERY PA
Location Address1095 IRON ORE ROADSpartanburg, SC 29303-2239
Mailing AddressP.o. Box 5787Spartanburg, SC 29304-5787 · (864) 582-2900 · Fax (864) 582-4991
Fax(864) 582-4991
Organization SubpartNo
Authorized OfficialAllison RodgersHuman Resources · (864) 582-2900
Enumeration DateMay 19, 2006
Last NPPES UpdateOctober 24, 20233 updates tracked since enumeration
NPPES CertifiedOctober 24, 2023
✔ NPI 1225082019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1095 IRON ORE ROAD, Spartanburg, SC 29303

Other Identifiers 2

MedicaidPA0828SC
OtherCB3406SC · Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Spartanburg Ear Nose & Throat, Head & Neck Surgery Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Spartanburg Ear Nose & Throat, Head & Neck Surgery PA, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Qualified Audiologist10
Otolaryngology6
Nurse Practitioner1

Clinicians, nearest first (17)

Otolaryngology
NPI 1689231201
1095 IRON ORE RD
Spartanburg, SC 29303
(864) 582-2900
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1427014067
1095 IRON ORE ROAD
Spartanburg, SC 29303
(864) 582-2900
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1154387751
1095 IRON ORE ROAD
Spartanburg, SC 29303
(864) 582-2900
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1891107702
1095 IRON ORE ROAD
Spartanburg, SC 29303
(864) 582-2900
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1275057770
1095 IRON ORE ROAD
Spartanburg, SC 29303
(864) 582-2900
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1386809614
1095 IRON ORE ROAD
Spartanburg, SC 29303
(864) 582-2900
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1528447281
1095 IRON ORE ROAD
Spartanburg, SC 29303
(864) 582-2900
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1598694689
1095 IRON ORE RD
Spartanburg, SC 29303
(864) 582-2900
✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1457301863
1330 BOILING SPRINGS RD SUITE 1400
Spartanburg, SC 29303
(864) 278-1428
✔ Accepts Medicare0.2 mi
Qualified Audiologist
NPI 1760516694
2 ROPER CORNERS CIR
Greenville, SC 29615
(864) 234-7815
✔ Accepts Medicare23 mi
Qualified Audiologist
NPI 1942250154
2 ROPER CORNERS CIR
Greenville, SC 29615
(864) 999-0261
✔ Accepts Medicare23 mi
Qualified Audiologist
NPI 1578720868
115 HALTON VILLAGE CIRCLE
Greenway, SC 29607
(864) 281-9440
✔ Accepts Medicare24 mi
Qualified Audiologist
NPI 1447632922
25 WOODS LAKE RD STE 401
Greenville, SC 29607
(864) 770-8822
✔ Accepts Medicare25 mi
Qualified Audiologist
NPI 1720632383
27 S PLEASANTBURG DR STE 60
Greenville, SC 29607
(864) 325-3584
✔ Accepts Medicare26 mi
Qualified Audiologist
NPI 1124430780
1065 HENDERSONVILLE RD ASHEVILLE HEAD NECK & EAR SURGEONS PA
Asheville, NC 28803
(828) 204-3517
✔ Accepts Medicare50 mi
Qualified Audiologist
NPI 1356639025
200 S HERLONG AVE SUITE A
Rock Hill, SC 29732
(803) 328-1864
✔ Accepts Medicare51 mi
Qualified Audiologist
NPI 1487957304
153 E N B BAROODY ST
Florence, SC 29506
(843) 662-7802
✔ Accepts Medicare136 mi

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

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 42D2038266

Spartanburg Ear, Nose & Throat · Spartanburg, SC
Active · expires Mar 15, 2028
CLIA Number42D2038266
Laboratory TypePhysician Office
Certificate Effective DateMarch 16, 2026
Certificate Expiration DateMarch 15, 2028
Laboratory DirectorJohn Foster
Laboratory Phone(864) 582-2900
Laboratory LocationSpartanburg Ear, Nose & Throat1095 Iron Ore Road, Spartanburg, SC 29303
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Ear Nose & Throat, Head & Neck Surgery PA's NPI number?

The NPI number for Spartanburg Ear Nose & Throat, Head & Neck Surgery PA is 1225082019. It was assigned to this organization in the NPPES registry on May 19, 2006.

Where is Spartanburg Ear Nose & Throat, Head & Neck Surgery PA located?

Spartanburg Ear Nose & Throat, Head & Neck Surgery PA is located at 1095 Iron Ore Road, Spartanburg, SC 29303. The listed phone number is (864) 582-2900.

What is Spartanburg Ear Nose & Throat, Head & Neck Surgery PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Spartanburg Ear Nose & Throat, Head & Neck Surgery PA enrolled in Medicare?

Yes. Spartanburg Ear Nose & Throat, Head & Neck Surgery PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spartanburg Ear Nose & Throat, Head & Neck Surgery PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 3 Medicare specialties reassign their Medicare billing to Spartanburg Ear Nose & Throat, Head & Neck Surgery PA. 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 Qualified Audiologist (10), Otolaryngology (6) and Nurse Practitioner (1). Of these, 8 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Spartanburg Ear Nose & Throat, Head & Neck Surgery PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2038266) is associated with this NPI, valid through March 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Spartanburg Ear Nose & Throat, Head & Neck Surgery PA 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 Ear Nose & Throat, Head & Neck Surgery PA 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 Ear Nose & Throat, Head & Neck Surgery PA was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.