1. Home
  2. Directory
  3. South Carolina
  4. Pacolet
  5. Family Medicine
  6. NPI Profile

FOOTHILLS FAMILY MEDICINE
NPI 1629090568
Family Medicine in Pacolet, SC

Active since July 23, 2006
391 GLENN SPRINGS RD, PACOLET, SC 29372(864) 474-3013 Get Directions Write a Review

NPPES record last updated: August 22, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Foothills Family Medicine NPPES

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

FOOTHILLS FAMILY MEDICINE (NPI 1629090568) is a healthcare organization registered as a family medicine in Pacolet, South Carolina and active in the NPI registry since July 2006. The organization lists Debbie Brewer, Director Of Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1629090568
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMARY BLACK HEALTH SYSTEM LLC
Location Address391 GLENN SPRINGS RDPacolet, SC 29372-2417
Mailing Address391 Glenn Springs RdPacolet, SC 29372-2417 · (864) 474-3013
Phone(864) 474-3013
Organization SubpartYes
Authorized OfficialDebbie BrewerDirector Of Provider Enrollment · (615) 465-7000
Enumeration DateJuly 23, 2006
Last NPPES UpdateAugust 22, 2007
✔ NPI 1629090568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
391 GLENN SPRINGS RD, Pacolet, SC 29372
Open in Google Maps ↗

Other Names 1

Doing Business AsFoothills Family Medicine

Other Identifiers 2

Medicare ID-Type Unspecified5305
MedicaidGP1607SC

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 4

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

MARY BLACK PHYSICIANS GROUP LLC
Durable Medical Equipment & Medical Supplies
391 GLENN SPRINGS RD
PACOLET, SC 29372
Spartanburg County (864) 474-3013
EMARY BLACK PHYSICIANS GROUP, LLC
Family Medicine
391 GLENN SPRINGS RD
PACOLET, SC 29372
Spartanburg County (864) 474-3013
MARY BLACK PHYSICIANS GROUP, LLC
Clinic/Center (Rural Health)
391 GLENN SPRINGS RD
PACOLET, SC 29372
Spartanburg County (864) 703-1414
RICHARD BRUCE BANNON MD
Family Medicine
391 GLENN SPRINGS RD
PACOLET, SC 29372
Spartanburg County (864) 474-3013

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 1629090568. It was assigned to this organization in the NPPES registry on July 23, 2006. The provider is doing business as Foothills Family Medicine.

Where is Mary Black Health System LLC located?

Mary Black Health System LLC is located at 391 Glenn Springs Rd, Pacolet, SC 29372. The listed phone number is (864) 474-3013.

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 August 22, 2007. 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.