SUPERIOR HEALTHCARE OF SPARTANBURG
NPI 1356926067
Clinic/Center - Multi-Specialty in Spartanburg, SC

Active since March 15, 2021
945 E MAIN ST STE 4, SPARTANBURG, SC 29302(864) 586-1284(864) 586-1285 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 6, 2023, Oct 21, 2021, Aug 2, 2021 and 1 more (4 updates tracked since 2021).

About Superior Healthcare Of Spartanburg NPPES

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

SUPERIOR HEALTHCARE OF SPARTANBURG (NPI 1356926067) is a healthcare organization registered as a multi-specialty in Spartanburg, South Carolina and active in the NPI registry since March 2021. The organization lists Jeremy Wilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1356926067
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameSUPERIOR HEALTHCARE OF SPARTANBURG
Location Address945 E MAIN ST STE 4Spartanburg, SC 29302-2119
Mailing Address945 E Main St Ste 4Spartanburg, SC 29302-2119 · (864) 586-1284
Fax(864) 586-1285
Organization SubpartNo
Authorized OfficialJeremy WilsonOwner · (864) 404-0433
Enumeration DateMarch 15, 2021
Last NPPES UpdateFebruary 6, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2023
✔ NPI 1356926067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
945 E MAIN ST STE 4, Spartanburg, SC 29302

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Superior Healthcare Of Spartanburg is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Superior Healthcare Of Spartanburg, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1952820136
201 HENRY PL
Spartanburg, SC 29306
(855) 663-7772
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1083324438
101 E WOOD ST
Spartanburg, SC 29303
(864) 560-4304
✔ PECOS✔ Accepts Medicare1.8 mi
Chiropractic
NPI 1851727101
337B E SAINT JOHN ST
Spartanburg, SC 29302
(864) 490-4358
✔ Accepts Medicare6.2 mi
Nurse Practitioner
NPI 1649804006
105 HALTON VILLAGE CIR STE B
Greenville, SC 29607
(864) 627-5020
✔ PECOS25 mi
Allergy/Immunology
NPI 1447239983
9165 UNIVERSITY BLVD
North Charleston, SC 29406
(843) 797-8162
✔ PECOS✔ Accepts Medicare173 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 42D2270872

Superior Healthcare Of Spartanburg · Spartanburg, SC
Expired · Oct 23, 2026
CLIA Number42D2270872
Laboratory TypePractitioner Other
Certificate Effective DateOctober 24, 2024
Certificate Expiration DateOctober 23, 2026
Laboratory DirectorJaime Bright
Laboratory Phone(864) 586-1284
Laboratory LocationSuperior Healthcare Of Spartanburg945 E Main Street, Unit 4, Spartanburg, SC 29302
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 Superior Healthcare Of Spartanburg's NPI number?

The NPI number for Superior Healthcare Of Spartanburg is 1356926067. It was assigned to this organization in the NPPES registry on March 15, 2021.

Where is Superior Healthcare Of Spartanburg located?

Superior Healthcare Of Spartanburg is located at 945 E Main St Ste 4, Spartanburg, SC 29302. The listed phone number is (864) 586-1284.

What is Superior Healthcare Of Spartanburg's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Superior Healthcare Of Spartanburg enrolled in Medicare?

Yes. Superior Healthcare Of Spartanburg is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Superior Healthcare Of Spartanburg?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Superior Healthcare Of Spartanburg. 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 Nurse Practitioner (3), Allergy/Immunology (1) and Chiropractic (1). Of these, 3 practice 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 Superior Healthcare Of Spartanburg was last updated on February 6, 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.