Mary Black Physicians Group, LLC
NPI 1134364615 · Family Medicine Physician · Roebuck, SC
Mary Black Physicians Group, LLC is a Family Medicine Physician organization in Roebuck, SC (NPI 1134364615).
Provider details
- NPI number
- 1134364615
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Mary Black Physicians Group, LLC
- Organization subpart
- Yes
- Authorized official
- Debbie Brewer, Director Provider Enrollment(615) 465-7626
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Mary Black Family Medicine-Dorman
Registry dates
- Enumerated
- 2008-12-11
- Last updated
- 2008-12-11
Frequently asked questions
- What is Mary Black Physicians Group, LLC's NPI number?
- Mary Black Physicians Group, LLC's National Provider Identifier (NPI) is 1134364615, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mary Black Physicians Group, LLC?
- Mary Black Physicians Group, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mary Black Physicians Group, LLC located?
- Mary Black Physicians Group, LLC's practice location on file with NPPES is 5229 Highway 221, Roebuck, SC 29376-3305.
- What is Mary Black Physicians Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mary Black Physicians Group, LLC is (864) 576-8193.
- Who is the authorized official for Mary Black Physicians Group, LLC?
- The authorized official listed on Mary Black Physicians Group, LLC's NPPES record is Debbie Brewer, Director Provider Enrollment. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mary Black Physicians Group, LLC's NPI active?
- Yes — Mary Black Physicians Group, LLC's NPI (1134364615) is active in the NPPES registry as of the last update on 2008-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.