DYNAMIC WOUND CARE OF SOUTH CAROLINA LLC
NPI 1821961962
General Practice in Spartanburg, SC

Active since September 25, 2025
324 N PINE ST, SPARTANBURG, SC 29302(305) 901-5055 Get Directions Write a Review

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

About Dynamic Wound Care Of South Carolina Llc NPPES

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

DYNAMIC WOUND CARE OF SOUTH CAROLINA LLC (NPI 1821961962) is a healthcare organization registered as a general practice in Spartanburg, South Carolina and active in the NPI registry since September 2025. The organization lists Kirill Filatov, Cfo, as its authorized official.

NPPES Registry Identity

NPI1821961962
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameDYNAMIC WOUND CARE OF SOUTH CAROLINA LLC
Location Address324 N PINE STSpartanburg, SC 29302-1631
Mailing Address324 N Pine StSpartanburg, SC 29302-1631 · (305) 901-5055
Organization SubpartNo
Authorized OfficialKirill FilatovCfo · (305) 901-5055
Enumeration DateSeptember 25, 2025
Last NPPES UpdateFebruary 12, 2026
NPPES CertifiedFebruary 12, 2026
✔ NPI 1821961962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
324 N PINE ST, Spartanburg, SC 29302

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dynamic Wound Care Of South Carolina Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Dynamic Wound Care Of South Carolina LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Pulmonary Disease
NPI 1952366478
151 HAROLD FLEMING COURT
Spartanburg, SC 29303
(864) 573-6320
✔ PECOS✔ Accepts Medicare2.5 mi
Nurse Practitioner
NPI 1295494441
111 DOCTOR CIR
Columbia, SC 29203
(800) 491-0909
✔ PECOS✔ Accepts Medicare82 mi

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 Dynamic Wound Care Of South Carolina LLC's NPI number?

The NPI number for Dynamic Wound Care Of South Carolina LLC is 1821961962. It was assigned to this organization in the NPPES registry on September 25, 2025.

Where is Dynamic Wound Care Of South Carolina LLC located?

Dynamic Wound Care Of South Carolina LLC is located at 324 N Pine St, Spartanburg, SC 29302. The listed phone number is (305) 901-5055.

What is Dynamic Wound Care Of South Carolina LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Dynamic Wound Care Of South Carolina LLC enrolled in Medicare?

Yes. Dynamic Wound Care Of South Carolina LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dynamic Wound Care Of South Carolina LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Dynamic Wound Care Of South Carolina LLC, in Nurse Practitioner and Pulmonary Disease. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dynamic Wound Care Of South Carolina LLC was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.