MARY BLACK FAMILY MEDICINE-LANDRUM
NPI 1952546434
Nurse Practitioner - Family in Landrum, SC

Q: What is Mary Black Physicians Group, LLC's NPI number?

The NPI number for Mary Black Physicians Group, LLC is 1952546434. It was assigned to this organization in the NPPES registry on December 11, 2008. The provider is also known as Mary Black Family Medicine-Landrum.

Q: What is Mary Black Physicians Group, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since December 11, 2008

108 W RUTHERFORD ST, LANDRUM, SC 29356(864) 457-2363 Get Directions Write a Review

NPPES record last updated: December 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mary Black Family Medicine-landrum NPPES

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

MARY BLACK FAMILY MEDICINE-LANDRUM (NPI 1952546434) is a healthcare organization registered as a family in Landrum, South Carolina and active in the NPI registry since December 2008. The organization lists Debbie Brewer, Director Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1952546434

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameMARY BLACK PHYSICIANS GROUP, LLC

Location Address108 W RUTHERFORD STLandrum, SC 29356-1526

Mailing AddressPo Box 277827Atlanta, GA 30384-7827 · (864) 253-8080 · Fax (864) 582-5188

Phone(864) 457-2363

Organization SubpartYes

Authorized OfficialDebbie BrewerDirector Provider Enrollment · (615) 465-7626

Enumeration DateDecember 11, 2008

✔ NPI 1952546434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

108 W RUTHERFORD ST, Landrum, SC 29356

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Other Names 1

Other NameMary Black Family Medicine-landrum

Other Identifiers 2

MedicaidGP4775SC

Medicare PIN8688SC

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

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LANDRUM FAMILY HEALTHCARE CENTER, PA

Clinic/Center (Rural Health)