Mary Black Physician Services LLC
NPI 1811950645 · Nurse Practitioner · Duncan, SC
Mary Black Physician Services LLC is a Nurse Practitioner organization in Duncan, SC (NPI 1811950645).
Provider details
- NPI number
- 1811950645
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Tammy Mccollum, Business Office Director(864) 253-8063
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Orthopaedic Surgery Physician207X00000X
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 724 Hyatt StSte. FGaffney, SC 29341-2630Phone: (864) 488-2507
Registry dates
- Enumerated
- 2006-04-11
- Last updated
- 2018-06-20
Frequently asked questions
- What is Mary Black Physician Services LLC's NPI number?
- Mary Black Physician Services LLC's National Provider Identifier (NPI) is 1811950645, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mary Black Physician Services LLC?
- Mary Black Physician Services LLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mary Black Physician Services LLC located?
- Mary Black Physician Services LLC's practice location on file with NPPES is 170 Ridgeview Center Dr, Duncan, SC 29334-9635.
- What is Mary Black Physician Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Mary Black Physician Services LLC is (864) 573-3124.
- Who is the authorized official for Mary Black Physician Services LLC?
- The authorized official listed on Mary Black Physician Services LLC's NPPES record is Tammy Mccollum, Business Office Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mary Black Physician Services LLC's NPI active?
- Yes — Mary Black Physician Services LLC's NPI (1811950645) is active in the NPPES registry as of the last update on 2018-06-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.