Vincent C Slater, D.O.
Individual provider Active NPI Family Medicine Physician · Spartanburg, SC
NPI 1306000948 · NPPES record last updated Dec 21, 2020
Key facts
- NPI
- 1306000948
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 1192 (SC)
- Practice address
- 120 Heywood Ave
Spartanburg, SC 29302 - Phone
- (864) 573-9595
- NPI assigned
- Jul 14, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 27
Hospital & facility affiliations 4
Medicare Care Compare profile
- 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 Center
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
- Spartanburg Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.7 of 100
- Quality
- 89.4
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110712000163 | SC | Practitioner - Family Practice | 6204004591 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skylyn Medical Associates PA | Family Medicine | Current | Accepting new patients |
| Spartanburg Medical Center | Current |
Accepting new patients | |
| Skylyn Medical Associates, PA | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Spartanburg Medical Center | Family Medicine | Current |
Accepting new patients |
| Cherokee Medical Center | Family Medicine | Current |
Accepting new patients |
| Spartanburg Medical Center | Family Medicine | Current |
Accepting new patients |
| Spartanburg Medical Center | Family Medicine | Current |
Accepting new patients |
| Cherokee Medical Center | Current |
Accepting new patients | |
| Spartanburg Medical Center | Family Medicine | Current |
Accepting new patients |
| Spartanburg Medical Center | Family Medicine | Current | Accepting new patients |
| Spartanburg Medical Center | Current | 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
2660 Reidville Rd
Unit 1
Spartanburg, SC 29301
Phone (864) 560-9696
120 Heywood Ave
Ste 200
Spartanburg, SC 29302
Phone (864) 560-3800
1776 Skylyn Dr
Spartanburg, SC 29307
Phone (864) 577-9970
853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928
101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554
101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915
511 Cross Anchor Rd
Woodruff, SC 29388
Phone (864) 278-6031
Interoperability endpoints
- vslater5871@direct-srhs.et0939.epichosted.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1192 | SC | Yes |
Addresses
Primary practice location
120 Heywood Ave
Spartanburg, SC 29302
Mailing address
PO Box 743070
Atlanta, GA 30374-3070
Phone (864) 560-4304
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA67636067 | Other | SC | MEDICARE PIN |
| AA67635019 | Other | SC | MEDICARE PIN |
| 011926 | Medicaid | SC | |
| SCC9575019 | Other | SC | MEDICARE PIN |
| AA6763J577 | Other | SC | MEDICARE PIN |
| AA67634722 | Other | SC | MEDICARE PIN |
| AA67636084 | Other | SC | MEDICARE PIN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vslater5871@direct-srhs.et0939.epichosted.com | Direct |
Other providers in Spartanburg, SC
- Skylyn Dental Associates LLC
- Skylyn Medical Associates PA
- Skylyn Medical Associates, PA
- Skylyn Wellness Center, Inc
- Skylyn Wellness Center, Inc.
- Trisha Slaughter
- Jane Coker Sleigher
- Dena Parris Slemenda
- Rebecca L. Slingwine
- Trevor Lee Slone
All providers in Spartanburg, SC · Family Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.