NPIMap

Organization Active NPI

Nephrology Associates of Spartanburg, LLC

Doing business as Spartanburg Nephrology Associates

  • Nephrology Physician
  • Spartanburg, SC
National Provider Identifier
1437108461
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEPHROLOGY ASSOCIATES OF SPARTANBURG, LLC
Doing business as
Spartanburg Nephrology Associates
Practice address
322 N Pine St
Spartanburg, SC 29302-1631
Phone
(864) 582-5099
Fax
(864) 327-1098
NPI assigned
May 8, 2006
Last updated
Jun 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Authorized official

Name
Mrs. Donna R Lancaster
Title
Practice Manager
Phone
(864) 582-5099

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NU
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

322 N Pine St
Spartanburg, SC 29302-1631

Mailing address

322 N Pine St
Spartanburg, SC 29302-1631
Phone (864) 582-5099

Other identifiers 7

IdentifierTypeStateIssuer
20053685OtherSCSELECT HEALTH
GP4718MedicaidSC
5903663MedicaidNC
8516OtherSCMEDICARE
5907795MedicaidNC
DE7625OtherSCRAIL ROAD MEDICARE GRP#
GP4404MedicaidSC

Other names 1

  • Spartanburg Nephrology Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060725000454 SC Part B Supplier - Clinic/Group Practice 4284647900 Receives reassigned benefits from 10 practitioners
Practice locations: Spartanburg, SC

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D0866103Nephrology Associates of Spartanburg LLC322 North Pine St, Spartanburg, SC 29302Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

2755 S Highway 14
Ste 2300
Greer, SC 29650
Phone (864) 699-5810

128 Dillon Dr
Spartanburg, SC 29307
Phone (864) 582-5099

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1437108461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 N PINE ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021631",
            "telephone_number": "864-582-5099",
            "fax_number": "864-327-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 N PINE ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021631",
            "telephone_number": "864-582-5099",
            "fax_number": "864-327-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY ASSOCIATES OF SPARTANBURG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2022-06-01",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "LANCASTER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "864-582-5099",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH",
            "identifier": "20053685",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4718",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903663",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "8516",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907795",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE GRP#",
            "identifier": "DE7625",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4404",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spartanburg Nephrology Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spartanburg Nephrology Associates",
            "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 Jun 1, 2022; 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.