Individual provider Active NPI

Blair Gault

  • Family Nurse Practitioner
  • Union, SC
National Provider Identifier
1003395385
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22024 Issued in SC
Practice address
115 Thomas St Ste B
Union, SC 29379-2147
Phone
(864) 582-2411
NPI assigned
Aug 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22024 SC Primary

Addresses

Primary practice location

115 Thomas St Ste B
Union, SC 29379-2147

Mailing address

PO Box 5158
Spartanburg, SC 29304-5158
Phone (864) 582-2411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181003003541 SC Practitioner - Nurse Practitioner 5799037602 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regenesis Organization Community Health CenterGroup PAC ID 8022928001, shared by 9 NPIs, 35 clinicians

Practice addresses (Care Compare)

220 College St
Spartanburg, SC 29303-3556
Phone (864) 582-2411

301 Crescent Ave
Spartanburg, SC 29306-4143
Phone (864) 582-2817

460 Langdon St
Spartanburg, SC 29302-1614
Phone (864) 504-3628

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regenesis Organization Community Health Center CurrentSince Nov 11, 2023 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Sep 18, 2021 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Oct 11, 2022 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Jan 6, 2020 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Jan 6, 2020 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Mar 18, 2022 Accepting new patients

Locations

301 Crescent Ave
Spartanburg, SC 29306
Phone (864) 582-2817

750 S Church St
Spartanburg, SC 29306
Phone (864) 582-2829

460 Langdon St
Spartanburg, SC 29302
Phone (864) 582-2817

115 Thomas St
#B
Union, SC 29379

Interoperability endpoints

  • Direct secure messaging: blair.gault@myrhc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JEHGBD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1003395385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5158",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293045158",
            "telephone_number": "864-582-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 THOMAS ST STE B",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293792147",
            "telephone_number": "864-582-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAULT",
        "first_name": "BLAIR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, SC

Sources for this page

Verify at the official NPI Registry.