SPARTANBURG MEDICAL CENTER NPI 1013781400

NPI Information

  • NPI: 1013781400
  • Provider Name: SPARTANBURG MEDICAL CENTER
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Doing Business As: MEDICAL GROUP OF THE CAROLINAS CARDIOLOGY - PELHAM
  • Address: 1083 BOILING SPRINGS RD
    SPARTANBURG, SC
    ZIP 29303
  • Phone: (864) 583-8647

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NPI Details

SPARTANBURG MEDICAL CENTER is a cardiovascular disease internal medicine in Spartanburg, SC. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. SPARTANBURG MEDICAL CENTER NPI is 1013781400. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Medical Group Of The Carolinas Cardiology - Pelham.

The provider's business location address is:

1083 BOILING SPRINGS RD
SPARTANBURG, SC
ZIP 29303-248
Phone: (864) 583-8647
Fax: (864) 542-2227

The provider's authorized official is Bruce A Davis .
The authorized official title is Evp / Chief Financial Officer and has the following contact phone number (864) 560-6000.

The enumeration date for this NPI number is 11/7/2023 and was last updated on 7/24/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseYes
2207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
3207RI0011XInternal MedicineInterventional CardiologyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PG1805MEDICAIDSOUTH CAROLINA
2PG1807MEDICAIDSOUTH CAROLINA
3PG1806MEDICAIDSOUTH CAROLINA
45019OTHERSOUTH CAROLINAMEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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