Active NPI
Mary Caitlin St Clair, D. O
- Family Medicine Physician
- Greenville, SC
National Provider Identifier
1699137745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DR.0062996
- Practice address
- 4200 E North St Ste 16
Greenville, SC 29615-2437 - Phone
- (864) 794-4944
- Fax
- (864) 900-5623
- NPI assigned
- Mar 27, 2016
- Last updated
- Aug 28, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DR.0062996 | CO | Primary |
Addresses
Primary practice location
4200 E North St Ste 16
Greenville, SC 29615-2437
Mailing address
4200 E North St Ste 16
Greenville, SC 29615-2437
Phone (864) 794-4944
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 836234 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinon Family Practice LLP | Family Medicine | Current | Accepting new patients |
| Nutrition Center of Colorado, LLC | Past | Accepting new patients |
Locations
9895 W Remington Pl
Littleton, CO 80128
Phone (303) 948-2676
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Littleton, CO
- NPI 1194942854
-
- Registered Dietitian
- Centennial, CO
- NPI 1396260485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1699137745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 E NORTH ST STE 16",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296152437",
"telephone_number": "864-794-4944",
"fax_number": "864-900-5623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 E NORTH ST STE 16",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296152437",
"telephone_number": "864-794-4944",
"fax_number": "864-900-5623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST CLAIR",
"first_name": "MARY",
"middle_name": "CAITLIN",
"credential": "D. O",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-27",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0062996",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "836234",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
- Saundra Sue Spruiell, D.O.
- Squiggles, LLC
- Michael Srinivasa Sridhar, MD
- Vinita Srivastava, MD
- SSJ Services LLC
- St Francis Hospital
- St Francis Hospital Inc (St. Francis Inpatient Rehab)
- St Francis Hospital Inc (St. Francis Cancer Center Pharmacy)
- St Francis Hospital Inc (St. Francis Millennium)
- St Francis Hospital Inc (St. Francis - Downtown)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.