1. Home
  2. Directory
  3. South Carolina
  4. Spartanburg
  5. Surgery
  6. NPI Profile

MEDICAL GROUP OF THE CAROLINAS- DIVISION OF SURGERY -SKYLYN
NPI 1861961963
Surgery in Spartanburg, SC

Active since November 19, 2018
1690 SKYLYN DR STE 350, SPARTANBURG, SC 29307(864) 577-1600(864) 278-7085 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 3, 2020, Mar 11, 2019, Jan 14, 2019 and 1 more (4 updates tracked since 2018).

About Medical Group Of The Carolinas- Division Of Surgery -skylyn NPPES

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

MEDICAL GROUP OF THE CAROLINAS- DIVISION OF SURGERY -SKYLYN (NPI 1861961963) is a healthcare organization registered as a surgery in Spartanburg, South Carolina and active in the NPI registry since November 2018. The organization lists Kenneth J Meinke, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1861961963
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSPARTANBURG MEDICAL CENTER
Location Address1690 SKYLYN DR STE 350Spartanburg, SC 29307-1039
Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413
Phone(864) 577-1600
Fax(864) 278-7085
Organization SubpartYesParent: Spartanburg Regional Health Services District, Inc.
Authorized OfficialKenneth J MeinkeChief Financial Officer · (864) 560-6103
Enumeration DateNovember 19, 2018
Last NPPES UpdateAugust 3, 20204 updates tracked since enumeration
NPPES CertifiedAugust 3, 2020
✔ NPI 1861961963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1690 SKYLYN DR STE 350, Spartanburg, SC 29307
Open in Google Maps ↗

Other Names 1

Doing Business AsMedical Group Of The Carolinas- Division Of Surgery -skylyn

Other Identifiers 2

Other7628SC · Medicare Pin
MedicaidGP8760SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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- Division Of Surgery -skylyn 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- Division Of Surgery -Skylyn, 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
Howard Bean, MD
Family Practice
NPI 1760434120
1690 SKYLYN DRIVE SUITE 210
Spartanburg, SC 29307
(864) 253-8170
✔ 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
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
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 Medicare0.5 mi
Walter Grady, DO
Orthopedic Surgery
NPI 1225036551
480 FLOYD RD
Spartanburg, SC 29307
(864) 582-2115
✔ PECOS✔ Accepts Medicare0.5 mi
James Norris, MD
Orthopedic Surgery
NPI 1346533742
480 FLOYD RD STE A
Spartanburg, SC 29307
(864) 582-2188
✔ PECOS✔ Accepts Medicare0.5 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 1861961963. It was assigned to this organization in the NPPES registry on November 19, 2018. The provider is doing business as Medical Group Of The Carolinas- Division Of Surgery -Skylyn.

Where is Spartanburg Medical Center located?

Spartanburg Medical Center is located at 1690 Skylyn Dr Ste 350, Spartanburg, SC 29307. The listed phone number is (864) 577-1600.

What is Spartanburg Medical Center's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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 August 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.