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MEDICAL GROUP OF THE CAROLINAS - CAROLINA OB/GYN
NPI 1760637904
Obstetrics & Gynecology in Spartanburg, SC

Active since December 01, 2008
1686 SKYLYN DR, SUITE 101, SPARTANBURG, SC 29307(864) 585-3456(864) 585-3209 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 12, 2024, Jul 5, 2023, Feb 15, 2023 and 1 more (4 updates tracked since 2022).

About Medical Group Of The Carolinas - Carolina Ob/gyn NPPES

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

MEDICAL GROUP OF THE CAROLINAS - CAROLINA OB/GYN (NPI 1760637904) is a healthcare organization registered as an obstetrics & gynecology in Spartanburg, South Carolina and active in the NPI registry since December 2008. The organization maintains 4 additional practice locations and lists Bruce A Davis, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1760637904
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameSPARTANBURG MEDICAL CENTER
Location Address1686 SKYLYN DR, SUITE 101Spartanburg, SC 29307-1079
Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413
Phone(864) 585-3456
Fax(864) 585-3209
Organization SubpartYesParent: Spartanburg Regional Health Services District, Inc.
Authorized OfficialBruce A DavisChief Financial Officer · (864) 560-6000
Enumeration DateDecember 1, 2008
Last NPPES UpdateJune 12, 20244 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
✔ NPI 1760637904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1686 SKYLYN DR, Spartanburg, SC 29307
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Other Names 2

Doing Business AsMedical Group Of The Carolinas - Carolina Ob/gyn
Doing Business AsMedical Group Of The Carolinas - Carolina Piedmont Ob/gyn - East

Secondary Practice Locations 4

Location 12995 Reidville Rd Ste 290Spartanburg, SC 29301-5667 · Phone (864) 574-4483 · Fax (864) 574-1162
Location 23941 Highway 9 Ste ABoiling Springs, SC 29316-8578 · Phone (864) 278-1400 · Fax (864) 278-1418
Location 32801 Woodruff Rd Ste 201Simpsonville, SC 29681-4807 · Phone (864) 849-9466 · Fax (864) 849-9166
Location 4853 N Church St Ste 600Spartanburg, SC 29303-3070 · Phone (864) 583-4556 · Fax (864) 560-0625

Other Identifiers 5

OtherCN1627SC · Rr Medicare
MedicaidGP5629SC
MedicaidPG1323SC
MedicaidPG1327SC
MedicaidPG1325SC

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medical Group Of The Carolinas - Carolina Ob/gyn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

308

Medicare enrollment records show 308 clinicians reassign Medicare billing to Medical Group Of The Carolinas - Carolina Ob/Gyn, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 132 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 26

Certified Registered Nurse Anesthetist (CRNA)70
Obstetrics/Gynecology51
Anesthesiology44
Nurse Practitioner43
Psychiatry19
Orthopedic Surgery18
General Surgery17
Family Practice10
18 other specialties36

Nearest to this location (20)

See all 308
Kelly Bridges, MD
Obstetrics/Gynecology
NPI 1568415768
1686 SKYLYN DR SUITE 101
Spartanburg, SC 29307
(864) 585-3456
✔ PECOS✔ Accepts MedicareSame address
April Johnson, MD
Obstetrics/Gynecology
NPI 1407802689
1686 SKYLYN DRIVE SUITE 101
Spartanburg, SC 29307
(864) 585-3456
✔ PECOS✔ Accepts MedicareSame address
Carol Ketchen, MD
Obstetrics/Gynecology
NPI 1578517470
1686 SKYLYN DRIVE SUITE 101
Spartanburg, SC 29307
(864) 585-3456
✔ PECOS✔ Accepts MedicareSame address
Gordon Sherard, MD
Obstetrics/Gynecology
NPI 1558315267
1686 SKYLYN DRIVE STE 101
Spartanburg, SC 29307
(864) 585-3456
✔ PECOS✔ Accepts MedicareSame address
Aaron Toler, MD
Obstetrics/Gynecology
NPI 1699729459
1686 SKYLYN DRIVE SUITE 101
Spartanburg, SC 29307
(864) 585-3456
✔ PECOS✔ Accepts MedicareSame address
Kimberly Toler, MD
Obstetrics/Gynecology
NPI 1316991177
1686 SKYLYN DRIVE SUITE 101
Spartanburg, SC 29307
(864) 585-3456
✔ PECOS✔ Accepts MedicareSame address
Amber Wallace, M.D.
Obstetrics/Gynecology
NPI 1104035526
1686 SKYLYN DR SUITE 101
Spartanburg, SC 29307
(864) 560-3456
✔ PECOS✔ Accepts MedicareSame address
Dzianis Budrevich, M.D.
General Surgery
NPI 1275898652
1690 SKYLYN DR STE 350
Spartanburg, SC 29307
(864) 577-1800
✔ PECOS✔ Accepts MedicareSame address
Howard Bean, MD
Family Practice
NPI 1760434120
1690 SKYLYN DRIVE SUITE 210
Spartanburg, SC 29307
(864) 253-8170
✔ PECOS✔ Accepts MedicareSame address
Shannon Jones, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1750426813
1700 SKYLYN DR
Spartanburg, SC 29307
(864) 591-1540
✔ Accepts Medicare0.1 mi
John Mann, NP-C
Nurse Practitioner
NPI 1548779457
1700 SKYLYN DR
Spartanburg, SC 29307
(864) 573-3000
✔ PECOS✔ Accepts Medicare0.1 mi
Patricia Sauls, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1861753402
1700 SKYLYN DR
Spartanburg, SC 29307
(864) 573-3000
✔ Accepts Medicare0.1 mi
Nickole Teel, MD
Anesthesiology
NPI 1225325202
1700 SKYLYN DR
Spartanburg, SC 29307
(864) 573-3000
✔ PECOS✔ Accepts Medicare0.1 mi
Peter Wrzesinski, MD
Psychiatry
NPI 1508486507
1700 SKYLYN DR
Spartanburg, SC 29307
(864) 573-3000
✔ PECOS✔ Accepts Medicare0.1 mi
John Broderick, M.D.
Orthopedic Surgery
NPI 1235180670
480 FLOYD RD SUITE A
Spartanburg, SC 29307
(864) 582-2188
✔ PECOS✔ Accepts Medicare0.3 mi
Daryl Dillman, MD
Orthopedic Surgery
NPI 1689154320
480 FLOYD RD STE A
Spartanburg, SC 29307
(864) 582-2188
✔ PECOS✔ Accepts Medicare0.3 mi
James Black, MD
Orthopedic Surgery
NPI 1043452741
480 FLOYD RD STE A
Spartanburg, SC 29307
(864) 582-2188
✔ PECOS✔ Accepts Medicare0.4 mi
Walter Grady, DO
Orthopedic Surgery
NPI 1225036551
480 FLOYD RD
Spartanburg, SC 29307
(864) 582-2115
✔ PECOS✔ Accepts Medicare0.4 mi
James Norris, MD
Orthopedic Surgery
NPI 1346533742
480 FLOYD RD STE A
Spartanburg, SC 29307
(864) 582-2188
✔ PECOS✔ Accepts Medicare0.4 mi
Sheryl Bankston, FNP-BC
Nurse Practitioner
NPI 1972859130
1200 E MAIN ST SUITE 12
Spartanburg, SC 29307
(864) 560-9260
✔ PECOS✔ Accepts Medicare1.1 mi
See all 308 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Spartanburg Medical Center's NPI number?

The NPI number for Spartanburg Medical Center is 1760637904. It was assigned to this organization in the NPPES registry on December 1, 2008. The provider is doing business as Medical Group Of The Carolinas - Carolina Ob/Gyn and Medical Group of the Carolinas - Carolina Piedmont OB/GYN - East.

Where is Spartanburg Medical Center located?

Spartanburg Medical Center is located at 1686 Skylyn Dr Suite 101, Spartanburg, SC 29307. The listed phone number is (864) 585-3456.

What is Spartanburg Medical Center's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Spartanburg Medical Center enrolled in Medicare?

Yes. Spartanburg Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spartanburg Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 308 clinicians in 26 Medicare specialties reassign their Medicare billing to Spartanburg Medical Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (70), Obstetrics/Gynecology (51) and Anesthesiology (44). Of these, 9 practice at this address and 132 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Spartanburg Medical Center accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 2 other insurers list Spartanburg Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Spartanburg Medical Center was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.