Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CAROLINA NEUROLOGY OF SPARTANBURG
NPI 1922345529
Psychiatry & Neurology - Neurology in Spartanburg, SC

Q: What is Carolina Neurology Of Spartanburg's NPI number?

The NPI number for Carolina Neurology Of Spartanburg is 1922345529. It was assigned to this organization in the NPPES registry on January 16, 2013.

Q: What is Carolina Neurology Of Spartanburg's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since January 16, 2013CLIA 42D2055362 · Waiver

541 FLOYD RD, SPARTANBURG, SC 29307(864) 585-6179(864) 585-5403 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 23, 2026, Mar 27, 2020, Dec 21, 2016 (3 updates tracked since 2016).

On this page

About Carolina Neurology Of Spartanburg NPPES

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

CAROLINA NEUROLOGY OF SPARTANBURG (NPI 1922345529) is a healthcare organization registered as a neurology in Spartanburg, South Carolina and active in the NPI registry since January 2013. The organization holds a CLIA Waiver certificate valid through March 10, 2027, maintains 4 additional practice locations, and lists Carol Kooistra, Physician, as its authorized official.

NPPES Registry Identity

NPI1922345529

Entity TypeOrganization

Primary Taxonomy2084N0400X

Legal Business NameCAROLINA NEUROLOGY OF SPARTANBURG

Location Address541 FLOYD RDSpartanburg, SC 29307-1520

Mailing Address4900 Centennial Blvd Ste 300Nashville, TN 37209-1105 · (844) 614-2354 · Fax (844) 278-8635

Phone(864) 585-6179

Fax(864) 585-5403

Organization SubpartNo

Authorized OfficialCarol KooistraPhysician · (864) 585-6179

Enumeration DateJanuary 16, 2013

Last NPPES UpdateSeptember 23, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2026

✔ NPI 1922345529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

541 FLOYD RD, Spartanburg, SC 29307

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Secondary Practice Locations 4

Location 11903 N Highway 17 Ste 102MT Pleasant, SC 29464-9481 · Phone (844) 509-1404 · Fax (844) 278-8635

Location 2275 Harbison Blvd Ste RColumbia, SC 29212-2222 · Phone (803) 598-1407 · Fax (803) 752-2891

Location 34400 Fort Jackson Blvd Ste 600CColumbia, SC 29209-1028 · Phone (803) 721-9808 · Fax (803) 680-3864

Location 41125 Woodruff Rd Ste 203Greenville, SC 29607-4111 · Phone (864) 947-4773 · Fax (864) 973-6279

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)

Carolina Neurology Of Spartanburg is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Carolina Neurology Of Spartanburg, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Carol Kooistra, MD

Neurology

NPI 1598741837

541 FLOYD RD
Spartanburg, SC 29307

(864) 585-6179

✔ PECOS✔ Accepts MedicareSame address

David Wilt, FNP

Nurse Practitioner

NPI 1083614739

274 COMMONWEALTH DR
Greenville, SC 29615

(864) 286-8222

✔ PECOS✔ Accepts Medicare26 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2055362

Carolina Neurology Of Spartanburg LLC · Spartanburg, SC

Active · expires Mar 10, 2027

CLIA Number42D2055362

Laboratory TypePhysician Office

Certificate Effective DateMarch 11, 2025

Certificate Expiration DateMarch 10, 2027

Laboratory DirectorDr. Carol Kooistra

Laboratory Phone(864) 585-6179

Laboratory LocationCarolina Neurology Of Spartanburg LLC541 Floyd Road, Spartanburg, SC 29307

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Carolina Neurology Of Spartanburg's NPI number?

The NPI number for Carolina Neurology Of Spartanburg is 1922345529. It was assigned to this organization in the NPPES registry on January 16, 2013.

Where is Carolina Neurology Of Spartanburg located?

Carolina Neurology Of Spartanburg is located at 541 Floyd Rd, Spartanburg, SC 29307. The listed phone number is (864) 585-6179.

What is Carolina Neurology Of Spartanburg's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Carolina Neurology Of Spartanburg enrolled in Medicare?

Yes. Carolina Neurology Of Spartanburg is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Carolina Neurology Of Spartanburg?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Carolina Neurology Of Spartanburg, in Neurology and Nurse Practitioner. 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Carolina Neurology Of Spartanburg hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2055362) is associated with this NPI, valid through March 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Carolina Neurology Of Spartanburg 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 Carolina Neurology Of Spartanburg 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 Carolina Neurology Of Spartanburg was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.