MARY BLACK PHYSICIANS GROUP LLC
NPI 1730306788
Durable Medical Equipment & Medical Supplies in Spartanburg, SC

Active since April 19, 2007
1250 JOHN B WHITE SR BLVD, SPARTANBURG, SC 29306(864) 576-9201 Get Directions Write a Review

NPPES record last updated: June 12, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Black Physicians Group Llc NPPES

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

MARY BLACK PHYSICIANS GROUP LLC (NPI 1730306788) is a healthcare organization registered as a durable medical equipment & medical supplies in Spartanburg, South Carolina and active in the NPI registry since April 2007. The organization lists Donna L Mattson, Senior Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1730306788
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMARY BLACK PHYSICIANS GROUP LLC
Location Address1250 JOHN B WHITE SR BLVDSpartanburg, SC 29306-3929
Mailing AddressPo Box 277827Atlanta, GA 30384-7827 · (864) 576-9201
Organization SubpartNo
Authorized OfficialDonna L MattsonSenior Credentialing Coordinator · (214) 473-7043
Enumeration DateApril 19, 2007
Last NPPES UpdateJune 12, 2009
NPI 1730306788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

1250 JOHN B WHITE SR BLVD, Spartanburg, SC 29306

Other Identifiers 2

Medicare ID-Type Unspecified8688SC
Medicare NSC5878670008SC

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.

Family Medicine
1250 JOHN B WHITE SR BLVD
SPARTANBURG, SC 29306
Family Medicine
1250 JOHN B WHITE SR BLVD
SPARTANBURG, SC 29306
Physician Assistant
1250 JOHN B WHITE SR BLVD
SPARTANBURG, SC 29306

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 1730306788. It was assigned to this organization in the NPPES registry on April 19, 2007.

Where is Mary Black Physicians Group LLC located?

Mary Black Physicians Group LLC is located at 1250 John B White Sr Blvd, Spartanburg, SC 29306. The listed phone number is (864) 576-9201.

What is Mary Black Physicians Group LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Mary Black Physicians Group LLC was last updated on June 12, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.