PEDIATRICS ASSOICATES-WEST
NPI 1487899969
Pediatrics in Duncan, SC

Active since December 11, 2008
500 SQUIRES PT, SUITE A, DUNCAN, SC 29334(864) 433-0369 Get Directions Write a Review

NPPES record last updated: December 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatrics Assoicates-west NPPES

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

PEDIATRICS ASSOICATES-WEST (NPI 1487899969) is a healthcare organization registered as a pediatrics in Duncan, South Carolina and active in the NPI registry since December 2008. The organization lists Debbie Brewer, Director Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1487899969
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMARY BLACK PHYSICIANS GROUP, LLC
Location Address500 SQUIRES PT, SUITE ADuncan, SC 29334-8867
Mailing AddressPo Box 277827Atlanta, GA 30384-7827 · (864) 253-8080 · Fax (864) 582-5188
Organization SubpartYes
Authorized OfficialDebbie BrewerDirector Provider Enrollment · (615) 465-7626
Enumeration DateDecember 11, 2008
NPI 1487899969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
500 SQUIRES PT, Duncan, SC 29334

Other Names 1

Other NamePediatrics Assoicates-west

Other Identifiers 1

MedicaidGP4780SC

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

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.

Durable Medical Equipment & Medical Supplies
500 SQUIRES PT, SUITE A
DUNCAN, SC 29334
Durable Medical Equipment & Medical Supplies
500 SQUIRES PT, SUITE B
DUNCAN, SC 29334
Family Medicine
500 SQUIRES PT, SUITE B
DUNCAN, SC 29334

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 1487899969. It was assigned to this organization in the NPPES registry on December 11, 2008. The provider is also known as Pediatrics Assoicates-West.

Where is Mary Black Physicians Group, LLC located?

Mary Black Physicians Group, LLC is located at 500 Squires Pt Suite A, Duncan, SC 29334. The listed phone number is (864) 433-0369.

What is Mary Black Physicians Group, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Mary Black Physicians Group, LLC was last updated on December 11, 2008. 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.