Active NPI
Blair Gault
- Family Nurse Practitioner
- Union, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 22024
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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 Center
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | 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
- blair.gault@myrhc.eclinicaldirectplus.com
- 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.
-
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1194710426
-
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1457745952
-
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1548528714
-
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1558946376
-
- Federally Qualified Health Center (FQHC)
- Union, SC
- NPI 1982248852
-
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1457061087
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.