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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Mary Black Physicians Group, LLC

Pediatric Adolescent Medicine Physician in Spartanburg, SC · enumerated 2008 · authorized official Debbie Brewer, Director Provider Enrollment.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205071784

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Registry record

Entity type Organization (Type 2)
Legal business name Mary Black Physicians Group, LLC
Other name <Unavail>
Parent organization Mary Black Physicians Group, LLC
Practice address 1686 Skylyn Dr Ste 201, Spartanburg, SC, 29307
Enumeration date Dec 11, 2008
Last updated in NPPES Dec 11, 2008

Taxonomy & classification

2080A0000X Pediatric Adolescent Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Debbie Brewer
Title Director Provider Enrollment

Other identifiers

Identifier Type State Issuer
GP4779 Medicaid SC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Mary Black Physicians Group, LLC?
Mary Black Physicians Group, LLC is registered in NPPES as a Pediatric Adolescent Medicine Physician (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-12-11.