Individual provider Active NPI

Vincent C Slater, D.O.

  • Family Medicine Physician
  • Spartanburg, SC
National Provider Identifier
1306000948
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1192 Issued in SC
Practice address
120 Heywood Ave
Spartanburg, SC 29302
Phone
(864) 573-9595
NPI assigned
Jul 14, 2008
Last updated
Dec 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1192 SC Primary

Addresses

Primary practice location

120 Heywood Ave
Spartanburg, SC 29302

Mailing address

PO Box 743070
Atlanta, GA 30374-3070
Phone (864) 560-4304

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vslater5871@direct-srhs.et0939.epichosted.com Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110712000163 SC Practitioner - Family Practice 6204004591 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spartanburg Medical CenterGroup PAC ID 3072425297, shared by 17 NPIs, 1,060 clinicians

Practice addresses (Care Compare)

101 E Wood St
Spartanburg, SC 29303-3040
Phone (864) 560-6000

120 Heywood Ave
Suite 200
Spartanburg, SC 29302-1210
Phone (864) 573-9595

3611 Pelham Rd
Greenville, SC 29615-5002
Phone (864) 530-3500

517 Chesnee Hwy
Suite a
Gaffney, SC 29341-2709
Phone (864) 487-7655

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1192SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center Family Medicine CurrentSince Mar 31, 2014 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Spartanburg Medical Center Family Medicine Current Accepting new patients
Cherokee Medical Center CurrentSince Oct 1, 2019 Accepting new patients
Cherokee Medical Center Family Medicine CurrentSince Oct 1, 2019 Accepting new patients
Spartanburg Medical Center Family Medicine CurrentSince Mar 19, 2019 Accepting new patients
Spartanburg Medical Center Family Medicine CurrentSince Jun 1, 2018 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Skylyn Medical Associates, PA Current Accepting new patients
Skylyn Medical Associates PA Family Medicine Current Accepting new patients
Spartanburg Medical Center Family Medicine CurrentSince Jun 4, 2016 Accepting new patients
Spartanburg Medical Center CurrentSince Mar 31, 2014 Accepting new patients
Spartanburg Medical Center Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

517 Chesnee Hwy
#A
Gaffney, SC 29341
Phone (864) 487-7655

840 W Floyd Baker Blvd
Gaffney, SC 29341
Phone (864) 489-3300

3611 Pelham Rd
Greenville, SC 29615
Phone (864) 530-3500

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554

120 Heywood Ave
Ste 200
Spartanburg, SC 29302
Phone (864) 560-3800

1776 Skylyn Dr
Spartanburg, SC 29307
Phone (864) 577-9970

2660 Reidville Rd
Unit 1
Spartanburg, SC 29301
Phone (864) 560-9696

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

511 Cross Anchor Rd
Woodruff, SC 29388
Phone (864) 278-6031

Interoperability endpoints

  • Direct secure messaging: vslater5871@direct-srhs.et0939.epichosted.com

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1306000948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743070",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743070",
            "telephone_number": "864-560-4304",
            "fax_number": "864-560-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HEYWOOD AVE",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29302",
            "telephone_number": "864-573-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "VINCENT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-14",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "1192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vslater5871@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "vslater5871@direct-srhs.et0939.epichosted.com",
            "address_1": "120 Heywood Ave",
            "city": "Spartanburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "29302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.