1. Home
  2. Directory
  3. South Carolina
  4. Spartanburg
  5. Durable Medical Equipment Medical Supplies
  6. NPI Profile

MARY BLACK PHYSICIANS GROUP LLC
NPI 1427276203
Durable Medical Equipment & Medical Supplies in Spartanburg, SC

Active since April 24, 2007
170 CAMELOT DR, SPARTANBURG, SC 29301(864) 576-1614 Get Directions Write a Review

NPPES record last updated: June 12, 2009. Verified against the NPPES registry weekly; last sync: August 09, 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 1427276203) 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

NPI1427276203
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMARY BLACK PHYSICIANS GROUP LLC
Location Address170 CAMELOT DRSpartanburg, SC 29301-2650
Mailing AddressPo Box 277827Atlanta, GA 30384-7827 · (864) 576-1614
Phone(864) 576-1614
Organization SubpartNo
Authorized OfficialDonna L MattsonSenior Credentialing Coordinator · (214) 473-7043
Enumeration DateApril 24, 2007
Last NPPES UpdateJune 12, 2009
✔ NPI 1427276203 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.
170 CAMELOT DR, Spartanburg, SC 29301
Open in Google Maps ↗

Other Identifiers 2

Medicare NSC5878670012SC
Medicare ID-Type Unspecified8688SC

Other Providers at the Same Location NPPES 2

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

DR. KURT ERWIN GARBER DPT
Physical Therapist
170 CAMELOT DR, SUITE B
SPARTANBURG, SC 29301
Spartanburg County (864) 583-6420
MARY BLACK PHYSICIANS GROUP, LLC
Family Medicine
170 CAMELOT DR, A
SPARTANBURG, SC 29301
Spartanburg County (864) 576-1614

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 1427276203. 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 170 Camelot Dr, Spartanburg, SC 29301. The listed phone number is (864) 576-1614.

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 June 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.