MARY BLACK HEALTH SYSTEM LLC
NPI 1689697807
Internal Medicine - Gastroenterology in Spartanburg, SC

Active since July 26, 2006
11 DOCTORS PARK DR, SPARTANBURG, SC 29307(864) 342-1435 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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 1689697807), doing business as Mary Black Gastroenterology Associates, is a healthcare organization registered as a gastroenterology in Spartanburg, South Carolina and active in the NPI registry since July 2006. The organization lists Rebecca Hurley, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1689697807
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameMARY BLACK HEALTH SYSTEM LLC
Location Address11 DOCTORS PARK DRSpartanburg, SC 29307-1024
Mailing Address11 Doctors Park DrSpartanburg, SC 29307-1024 · (864) 342-1435
Organization SubpartNo
Authorized OfficialRebecca HurleySenior Vice President · (214) 473-3993
Enumeration DateJuly 26, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1689697807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedInternal MedicineTaxonomy 207R00000X
11 DOCTORS PARK DR, Spartanburg, SC 29307

Other Names 1

Doing Business AsMary Black Gastroenterology Associates

Other Identifiers 1

MedicaidGP1874SC

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.

Physician Assistant
11 DOCTORS PARK DR, SUITE 240
SPARTANBURG, SC 29307
Internal Medicine (Gastroenterology)
11 DOCTORS PARK DR, SUITE 240
SPARTANBURG, SC 29307
Colon & Rectal Surgery
11 DOCTORS PARK DR, SUITE 210
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 Health System LLC's NPI number?

The NPI number for Mary Black Health System LLC is 1689697807. It was assigned to this organization in the NPPES registry on July 26, 2006. The provider is doing business as Mary Black Gastroenterology Associates.

Where is Mary Black Health System LLC located?

Mary Black Health System LLC is located at 11 Doctors Park Dr, Spartanburg, SC 29307. The listed phone number is (864) 342-1435.

What is Mary Black Health System 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 Health System LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.