Active NPI
Tri-State Medical Supplies, LLC
Doing business as Tri-State Medical Supplies
- Durable Medical Equipment & Medical Supplies
- Spartanburg, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- TRI-STATE MEDICAL SUPPLIES, LLC
- Doing business as
- Tri-State Medical Supplies
Tri-State Medical Supplies LLC North Grove
Tri-State Medical Supplies North Grove - Practice address
- 1330 Boiling Springs Rd Ste 2900
Spartanburg, SC 29303 - Phone
- (864) 586-5740
- NPI assigned
- Jul 30, 2018
- Last updated
- Nov 17, 2025
- Organization subpart
- Yes
- Parent organization
- TRI-STATE MEDICAL SUPPLIES, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lindsay Smith
- Title
- Coo
- Phone
- (864) 579-2899
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1330 Boiling Springs Rd Ste 2900
Spartanburg, SC 29303
Mailing address
2375 E Main St Ste A106
Spartanburg, SC 29307-1411
Phone (864) 579-2899
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760460182 | Medicaid | SC |
Other names 3
- Tri-State Medical Supplies
- Tri-State Medical Supplies LLC North Grove
- Tri-State Medical Supplies North Grove
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181023001024 | SC | DME Supplier - Medical Supply Company With Respiratory Therapist | 3870794019 | Practice locations: Spartanburg, SC |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Spartanburg, SC
- NPI 1760460182
3870794019
National Provider Directory
National Provider Directory- Tax ID family
- Tri-State Medical Supplies LLC
- Part of
- Tri-State Medical Supplies LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Spartanburg, SC
- NPI 1760460182
Locations
1330 Boiling Springs Rd
Ste 2900
Spartanburg, SC 29303
Phone (864) 529-3460
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Durable Medical Equipment & Medical Supplies
- Spartanburg, SC
- NPI 1760460182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763337600000",
"number": "1275011652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2375 E MAIN ST STE A106",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293071411",
"telephone_number": "864-579-2899",
"fax_number": "864-579-2844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 BOILING SPRINGS RD STE 2900",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "29303",
"telephone_number": "864-586-5740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI-STATE MEDICAL SUPPLIES, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TRI-STATE MEDICAL SUPPLIES, LLC",
"enumeration_date": "2018-07-30",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "LINDSAY",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "864-579-2899"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1760460182",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tri-State Medical Supplies",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Tri-State Medical Supplies LLC North Grove",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Tri-State Medical Supplies North Grove",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Tri-State Medical Supplies North Grove",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.