MARY BLACK GASTROENTEROLOGY ASSOCIATES
NPI 1568607190
Internal Medicine - Gastroenterology in Spartanburg, SC

Active since December 11, 2008
11 DOCTORS PARK DR, SUITE 240, SPARTANBURG, SC 29307(864) 573-3593 Get Directions Write a Review

NPPES record last updated: January 8, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Black Gastroenterology Associates NPPES

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

MARY BLACK GASTROENTEROLOGY ASSOCIATES (NPI 1568607190) is a healthcare organization registered as a gastroenterology in Spartanburg, 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

NPI1568607190
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameMARY BLACK PHYSICIANS GROUP, LLC
Location Address11 DOCTORS PARK DR, SUITE 240Spartanburg, SC 29307-1024
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
Last NPPES UpdateJanuary 8, 2009
NPI 1568607190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
11 DOCTORS PARK DR, Spartanburg, SC 29307

Other Names 1

Other NameMary Black Gastroenterology Associates

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 4

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

Physician Assistant
11 DOCTORS PARK DR, SUITE 240
SPARTANBURG, SC 29307
Colon & Rectal Surgery
11 DOCTORS PARK DR, SUITE 210
SPARTANBURG, SC 29307
Internal Medicine (Gastroenterology)
11 DOCTORS PARK DR
SPARTANBURG, SC 29307
Colon & Rectal Surgery
11 DOCTORS PARK DR, SUITE 210
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 1568607190. It was assigned to this organization in the NPPES registry on December 11, 2008. The provider is also known as Mary Black Gastroenterology Associates.

Where is Mary Black Physicians Group, LLC located?

Mary Black Physicians Group, LLC is located at 11 Doctors Park Dr Suite 240, Spartanburg, SC 29307. The listed phone number is (864) 573-3593.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Mary Black Physicians Group, LLC was last updated on January 8, 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.