MARY BLACK HEALTH SYSTEM LLC
NPI 1578507174
Family Medicine in Spartanburg, SC

Q: What is Mary Black Health System LLC's NPI number?

The NPI number for Mary Black Health System LLC is 1578507174. It was assigned to this organization in the NPPES registry on June 15, 2006.

Q: What is Mary Black Health System LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 15, 2006

1690 SKYLYN DR, SUITE 300, SPARTANBURG, SC 29307(864) 582-1201(864) 596-7409 Get Directions Write a Review

NPPES record last updated: July 16, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mary Black Health System Llc NPPES

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

MARY BLACK HEALTH SYSTEM LLC (NPI 1578507174) is a healthcare organization registered as a family medicine in Spartanburg, South Carolina and active in the NPI registry since June 2006. The organization lists Debbie Brewer, Director Of Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1578507174

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMARY BLACK HEALTH SYSTEM LLC

Location Address1690 SKYLYN DR, SUITE 300Spartanburg, SC 29307-1022

Mailing AddressPo Box 406757Atlanta, GA 30384-6757 · (864) 253-8063

Phone(864) 582-1201

Fax(864) 596-7409

Organization SubpartNo

Authorized OfficialDebbie BrewerDirector Of Provider Enrollment · (615) 465-7000

Enumeration DateJune 15, 2006

Last NPPES UpdateJuly 16, 2008

✔ NPI 1578507174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedOtolaryngologyTaxonomy 207Y00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X

Also ListedSurgeryTaxonomy 208600000X

Also ListedSurgery · Surgery of the HandTaxonomy 2086S0105X

Also ListedUrologyTaxonomy 208800000X

Also ListedColon & Rectal SurgeryTaxonomy 208C00000X

Also ListedPodiatristTaxonomy 213E00000X

Also ListedClinic/Center · Radiology, MammographyTaxonomy 261QR0206X

1690 SKYLYN DR, Spartanburg, SC 29307

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Other Identifiers 11

OtherCE9631SC · Medicare Railroad

MedicaidGP4572SC

Medicare PIN5404SC

Medicare PIN5298SC

MedicaidGP4628SC

MedicaidGP1628SC

MedicaidGP4573SC

Medicare PIN5286SC

Medicare PIN5991SC

MedicaidGP1325SC

MedicaidGP1610SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

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

MARY BLACK PHYSICIANS GROUP, LLC

Internal Medicine

1690 SKYLYN DR, SUITE 300
SPARTANBURG, SC 29307

Spartanburg County (864) 342-4000

MARY BLACK PHYSICIANS GROUP, LLC

Surgery

1690 SKYLYN DR, SUITE 140
SPARTANBURG, SC 29307

Spartanburg County (864) 591-1664

GEORGE AMBROSE BLESTEL JR. MD

Colon & Rectal Surgery

1690 SKYLYN DR, SUITE 140
SPARTANBURG, SC 29307

Spartanburg County (864) 591-1664

JOHN THOMPSON TATE MD

Surgery

1690 SKYLYN DR, SUITE 140
SPARTANBURG, SC 29307

Spartanburg County (864) 591-1664

MAX CORTEZ FINCH JR. MD

Internal Medicine

1690 SKYLYN DR, SUITE 300
SPARTANBURG, SC 29307

Spartanburg County (864) 573-3123

ROBERT ALAN RINGEL MD

Specialist

1690 SKYLYN DR, SUITE 140
SPARTANBURG, SC 29307

Spartanburg County (864) 542-2510

DR. PAUL DOUGLAS WEAVER M.D.

Internal Medicine

1690 SKYLYN DR, SUITE 300
SPARTANBURG, SC 29307

Spartanburg County (864) 582-1201

MR. ERNESTO POTES MD

Specialist

1690 SKYLYN DR, SUITE 140
SPARTANBURG, SC 29307

Spartanburg County (864) 542-2510

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 Health System LLC's NPI number?

The NPI number for Mary Black Health System LLC is 1578507174. It was assigned to this organization in the NPPES registry on June 15, 2006.

Where is Mary Black Health System LLC located?

Mary Black Health System LLC is located at 1690 Skylyn Dr Suite 300, Spartanburg, SC 29307. The listed phone number is (864) 582-1201.

What is Mary Black Health System LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mary Black Health System LLC was last updated on July 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.