Organization Active NPI

Tri-State Medical Supplies, LLC

Doing business as Tri-State Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Spartanburg, SC
National Provider Identifier
1275011652
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
TRI-STATE MEDICAL SUPPLIES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1760460182MedicaidSC

Other names 3

  • Tri-State Medical Supplies Doing business as
  • Tri-State Medical Supplies LLC North Grove Doing business as
  • Tri-State Medical Supplies North Grove Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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).

National Provider Directory

National Provider Directory
Tax ID family
Tri-State Medical Supplies LLC2 organizations share this tax ID, including this one
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.

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.

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.

Verify at the official NPI Registry.