Active NPI
Westgate Family Physicians PA
- Family Medicine Physician
- Spartanburg, SC
National Provider Identifier
1174577258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WESTGATE FAMILY PHYSICIANS PA
- Practice address
- 105 Powell Mill Rd
Spartanburg, SC 29301-1531 - Phone
- (864) 574-0070
- NPI assigned
- May 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Hall
- Title
- Administrator
- Phone
- (864) 574-0070
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
105 Powell Mill Rd
Spartanburg, SC 29301-1531
Mailing address
105 Powell Mill Rd
Spartanburg, SC 29301-1531
Phone (864) 574-0070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090309000441 | SC | Part B Supplier - Clinic/Group Practice | 6204992712 |
Receives reassigned benefits from 7 practitioners Practice locations: Spartanburg, SC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D0919216 | Westgate Family Physicians | Compliance | Aug 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
105 Powell Mill Rd
Spartanburg, SC 29301
Phone (864) 574-0070
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Spartanburg, SC
- NPI 1417935339
Family Medicine, SC
-
- Family Medicine Physician
- Spartanburg, SC
- NPI 1538127543
Family Medicine, SC
-
- Family Nurse Practitioner
- Spartanburg, SC
- NPI 1043752579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746057600000",
"number": "1174577258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 POWELL MILL RD",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293011531",
"telephone_number": "864-574-0070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 POWELL MILL RD",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293011531",
"telephone_number": "864-574-0070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTGATE FAMILY PHYSICIANS PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-21",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A",
"authorized_official_last_name": "HALL",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "864-574-0070"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
- Shaquana Brequesha West, PHARMD
- Westbrook Family Chiropractic, LLC
- Hannah Westby
- Raymond Briggs Westby, DO
- Western Carolina O & P
- Westgate Training and Consultation Network
- Weston Rehabilitation South Carolina LLC
- Laurel Andrea Weston, M.D.
- Wendy Stanton Weston, CRNA
- Westside Chiropractic & Sports Medicine, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.