Superior Healthcare of Spartanburg

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SUPERIOR HEALTHCARE OF SPARTANBURG

Practice address

945 E Main St Ste 4
Spartanburg, SC 29302-2119

Phone

(864) 586-1284

Fax

(864) 586-1285

NPI assigned

Mar 15, 2021

Organization subpart

No

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

Authorized official

Name

Jeremy Wilson, DCNPI 1801106158

Title

Owner

Phone

(864) 404-0433

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brittney Lynn Clemmer, NP

  • Adult Health Nurse Practitioner
  • Spartanburg, SC
  • NPI 1083324438
  Medicare reassignment Care Compare group NPD
• Pamela Marie Mills

  • Family Nurse Practitioner
  • Spartanburg, SC
  • NPI 1952820136
  Medicare reassignment Care Compare group NPD
• Joseph Pierce Power, DC, CGFI

  • Chiropractor
  • Spartanburg, SC
  • NPI 1851727101
  Medicare reassignment Care Compare group NPD
• Frederick M Schaffer, M.D.

  • Allergy & Immunology Physician
  • North Charleston, SC
  • NPI 1447239983
  Medicare reassignment Care Compare group NPD
• Jeremy R Wilson, DC

  • Chiropractor
  • Greenville, SC
  • NPI 1801106158
  NPD (past) Authorized official

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1356926067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 E MAIN ST STE 4",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293022119",
            "telephone_number": "864-586-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 E MAIN ST STE 4",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293022119",
            "telephone_number": "864-586-1284",
            "fax_number": "864-586-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR HEALTHCARE OF SPARTANBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-404-0433",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Mills Summers, DMD
• Summit Hills, LLC (Live Long WellCare)
• Summit Hills, LLC
• Amanda Friday Sun, MMFT, LMFT
• Superior Health and Wellness Spartanburg
• Supplemental Healthcare
• Elizabeth R Surgeon, MA
• Aqil Ebun Surka, MD
• Gayatri Sarangdhar Surwade, M.D
• Susan C. Smart, LM, CPM (Smart Pregnancy & Birth)

• Multi-Specialty Clinic/Center in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Multi-Specialty Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.

Verify at the official NPI Registry.