Mary Black Health System LLC
NPI 1629090568 · Family Medicine Physician · Pacolet, SC
Mary Black Health System LLC is a Family Medicine Physician organization in Pacolet, SC (NPI 1629090568).
Provider details
- NPI number
- 1629090568
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Mary Black Health System LLC
- Organization subpart
- Yes
- Authorized official
- Debbie Brewer, Director of Provider Enrollment(615) 465-7000
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
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
Other names (DBA / former)
- Doing business as
- Foothills Family Medicine
Registry dates
- Enumerated
- 2006-07-23
- Last updated
- 2007-08-22
Frequently asked questions
- What is Mary Black Health System LLC's NPI number?
- Mary Black Health System LLC's National Provider Identifier (NPI) is 1629090568, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mary Black Health System LLC?
- Mary Black Health System LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mary Black Health System LLC located?
- Mary Black Health System LLC's practice location on file with NPPES is 391 Glenn Springs Rd, Pacolet, SC 29372-2417.
- What is Mary Black Health System LLC's phone number?
- The practice phone number listed in the NPPES registry for Mary Black Health System LLC is (864) 474-3013.
- Who is the authorized official for Mary Black Health System LLC?
- The authorized official listed on Mary Black Health System LLC's NPPES record is Debbie Brewer, Director of Provider Enrollment. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mary Black Health System LLC's NPI active?
- Yes — Mary Black Health System LLC's NPI (1629090568) is active in the NPPES registry as of the last update on 2007-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.