MEDICAL GROUP OF THE CAROLINAS - PEDIATRICS - WESTSIDE – NPI #1104867845
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Health Care Provider Taxonomy Code for Pediatrics

MEDICAL GROUP OF THE CAROLINAS - PEDIATRICS - WESTSIDE is a provider located in SPARTANBURG, SC. NPPES has assigned the NPI number 1104867845 to MEDICAL GROUP OF THE CAROLINAS - PEDIATRICS - WESTSIDE on June 10, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MEDICAL GROUP OF THE CAROLINAS - PEDIATRICS - WESTSIDE” is a dba name, the actual legal business name for this organization is SPARTANBURG MEDICAL CENTER. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was last updated on Aug 05, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEDICAL GROUP OF THE CAROLINAS - PEDIATRICS - WESTSIDE below.

NPI Profile for
SPARTANBURG MEDICAL CENTER

NPI Number
1104867845
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SPARTANBURG MEDICAL CENTER
Doing Business As (dba): MEDICAL GROUP OF THE CAROLINAS - PEDIATRICS - WESTSIDE
Primary location
8311 WARREN H ABERNATHY HWY
SPARTANBURG, SC 29301-1249
Phone: (864) 562-5400 Fax: (864) 562-5430
Mailing address
PO BOX 743070
ATLANTA, GA 30374-3070
Phone: (864) 560-4304 Fax: (864) 560-4413
Organization Subpart
Yes - MEDICAL GROUP OF THE CAROLINAS - PEDIATRICS - WESTSIDE is subpart of another organization.
Authorized Official
BRUCE DAVIS
CHIEF FINANCIAL OFFICER
Phone: (864) 560-6000
Updated
Certification Date
Aug 05, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MEDICAL GROUP OF THE CAROLINAS - PEDIATRICS - WESTSIDE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidSCGP5627
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
207W00000X
- Ophthalmology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.