Mary Black Physicians Group LLC
NPI 1609094481 · Durable Medical Equipment & Medical Supplies · Spartanburg, SC
Mary Black Physicians Group LLC is a Durable Medical Equipment & Medical Supplies organization in Spartanburg, SC (NPI 1609094481).
Provider details
- NPI number
- 1609094481
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Donna Mattson, Senior Credentialing Coordinator(214) 473-7043
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Registry dates
- Enumerated
- 2007-04-24
- Last updated
- 2009-06-11
Frequently asked questions
- What is Mary Black Physicians Group LLC's NPI number?
- Mary Black Physicians Group LLC's National Provider Identifier (NPI) is 1609094481, 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 Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Mary Black Physicians Group LLC located?
- Mary Black Physicians Group LLC's practice location on file with NPPES is 1686 Skylyn Dr, Spartanburg, SC 29307-1058.
- 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) 585-3456.
- 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 Donna Mattson, Senior Credentialing Coordinator. 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 (1609094481) is active in the NPPES registry as of the last update on 2009-06-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.