Active NPI
Stephen Nix, C-AA
- Anesthesiologist Assistant
- Spartanburg, SC
National Provider Identifier
1346237609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 141
- Practice address
- 101 E Wood St
Spartanburg, SC 29303-3040 - Phone
- (864) 560-6952
- NPI assigned
- Oct 3, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 3700 | GA | |
| Anesthesiologist Assistant | 367H00000X | 141 | SC | Primary |
Addresses
Primary practice location
101 E Wood St
Spartanburg, SC 29303-3040
Mailing address
PO Box 743070
Attn: Credentialing Dept, Building F, Suite 100
Atlanta, GA 30374-3070
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100000710A | Medicaid | GA | |
| 100000710B | Medicaid | GA | |
| 100000710C | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
101 E Wood St
Spartanburg, SC 29303-3040
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 141 | SC | MD | Pediatric Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spartanburg Medical Center | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients |
Locations
101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1043309917
-
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- NPI 1760114664
-
- Anesthesiology Physician
- Spartanburg, SC
- NPI 1417771924
-
- Anesthesiology Physician
- Spartanburg, SC
- NPI 1760155808
-
- Physical Medicine & Rehabilitation Physician
- Spartanburg, SC
- NPI 1942188875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1346237609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743070",
"address_2": "ATTN: CREDENTIALING DEPT, BUILDING F, SUITE 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303743070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E WOOD ST",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293033040",
"telephone_number": "864-560-6952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIX",
"first_name": "STEPHEN",
"credential": "C-AA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-03",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "GA",
"license": "3700",
"primary": false
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "SC",
"license": "141",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100000710A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100000710B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100000710C",
"state": "GA"
}
],
"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 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.