MARY BLACK PHYSICIANS GROUP, LLC – NPI #1205071784
Pediatrics
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
MARY BLACK PHYSICIANS GROUP, LLC is a provider located in SPARTANBURG, SC. NPPES has assigned the NPI number 1205071784 to MARY BLACK PHYSICIANS GROUP, LLC on December 11, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. MARY BLACK PHYSICIANS GROUP, LLC is also known by the name PEDIATRIC ASSOCIATES-EAST. The primary taxonomy selected by this provider is 2080A0000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Adolescent Medicine
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 MARY BLACK PHYSICIANS GROUP, LLC below.
NPI Profile for
MARY BLACK PHYSICIANS GROUP, LLC
(more than 17 years ago)
SPARTANBURG, SC 29307-1079 Phone: (864) 582-8135 Fax:
ATLANTA, GA 30384-7827 Phone: (864) 253-8063 Fax: (864) 582-5188
DIRECTOR PROVIDER ENROLLMENT
Phone: (615) 465-7626
Identifiers for MARY BLACK PHYSICIANS GROUP, LLC
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | SC | GP4779 |
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 |
|---|---|---|
| 2080A0000X - Pediatrics / Adolescent Medicine (Primary) |
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.