Organization Active NPI

Mel-Med LLC

  • Medical Specialty Clinic/Center
  • Spartanburg, SC
National Provider Identifier
1235770439
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
MEL-MED LLC
Practice address
1451 E Main St Ste 2a
Spartanburg, SC 29307-2245
Phone
(864) 586-3979
NPI assigned
Sep 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Authorized official

Name
Mark Nichols
Title
Owner
Phone
(864) 586-3979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

1451 E Main St Ste 2a
Spartanburg, SC 29307-2245

Mailing address

1451 E Main St Ste 2a
Spartanburg, SC 29307-2245
Phone (864) 586-3979

National Provider Directory

National Provider Directory

Locations

1451 E Main St
Ste 2A
Spartanburg, SC 29307
Phone (864) 586-3979

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1235770439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 E MAIN ST STE 2A",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293072245",
            "telephone_number": "864-586-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 E MAIN ST STE 2A",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293072245",
            "telephone_number": "864-586-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEL-MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-586-3979"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.