MARY BLACK PHYSICIANS GROUP LLC
NPI 1376761155
Durable Medical Equipment & Medical Supplies in Spartanburg, SC

Active since April 24, 2007
148 DILLON DR, SPARTANBURG, SC 29307(864) 582-1089 Get Directions Write a Review

NPPES record last updated: August 13, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Black Physicians Group Llc NPPES

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

MARY BLACK PHYSICIANS GROUP LLC (NPI 1376761155) is a healthcare organization registered as a durable medical equipment & medical supplies in Spartanburg, South Carolina and active in the NPI registry since April 2007. The organization lists Donna L Mattson, Senior Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1376761155
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMARY BLACK PHYSICIANS GROUP LLC
Location Address148 DILLON DRSpartanburg, SC 29307-1018
Mailing Address148 Dillon DrSpartanburg, SC 29307-1018 · (864) 582-1089
Organization SubpartYesParent: Mary Black Physicians Group, Llc
Authorized OfficialDonna L MattsonSenior Credentialing Coordinator · (214) 473-7043
Enumeration DateApril 24, 2007
Last NPPES UpdateAugust 13, 2008
NPI 1376761155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

148 DILLON DR, Spartanburg, SC 29307

Other Identifiers 1

Medicare NSC5878670016SC

Other Providers at the Same Location NPPES 3

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

Otolaryngology
148 DILLON DR
SPARTANBURG, SC 29307
Otolaryngology
148 DILLON DR
SPARTANBURG, SC 29307
Durable Medical Equipment & Medical Supplies
148 DILLON DR
SPARTANBURG, SC 29307

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 Mary Black Physicians Group LLC's NPI number?

The NPI number for Mary Black Physicians Group LLC is 1376761155. It was assigned to this organization in the NPPES registry on April 24, 2007.

Where is Mary Black Physicians Group LLC located?

Mary Black Physicians Group LLC is located at 148 Dillon Dr, Spartanburg, SC 29307. The listed phone number is (864) 582-1089.

What is Mary Black Physicians Group LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Mary Black Physicians Group LLC was last updated on August 13, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.