Spartanburg Medical Center
Organization Active NPI Family Medicine Physician · Inman, SC
NPI 1821035809 · NPPES record last updated Apr 27, 2026
Key facts
- NPI
- 1821035809
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- SPARTANBURG MEDICAL CENTER
- Practice address
- 12230 Asheville Hwy
Inman, SC 29349-1845 - Phone
- (864) 472-2144
- Fax
- (864) 472-4696
- NPI assigned
- May 31, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.
Authorized official
- Name
- Charles Eugene Morrow
- Title
- Chief Operating Officer
- Phone
- (864) 560-6000
Other NPIs on the same Medicare enrollment 18
Corporate family (same tax ID) 24
Practitioners 9
-
Igor N Bedarev, MD
-
Wayne Davis, Jr., M.D.
-
Benjamin Scott Friday, M.D.
-
Alyssa Sherrill Jackson, DNP, APRN, FNP-BC
-
Timothy Jon Rop, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040322000577 | SC | Part B Supplier - Clinic/Group Practice | 3072425297 |
Receives reassigned benefits from 205 practitioners 18 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Gaffney, SC; Woodruff, SC; Spartanburg, SC; Roebuck, SC; Pacolet, SC; Inman, SC; Greenville, SC; Boiling Springs, SC |
National Provider Directory
- Tax ID family
- SRMC Subacute Care Phys
- Part of
- Spartanburg Regional Health Services District Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
12230 Asheville Hwy
Inman, SC 29349-1845
Mailing address
PO Box 743070
Atlanta, GA 30374-3070
Phone (864) 560-4304
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP1118 | Medicaid | SC | |
| GP5640 | Medicaid | SC | |
| 89011MV | Medicaid | NC | |
| CN1627 | Other | SC | RAILROAD MEDICARE GROUP # |
Other names
- Medical Group of the Carolinas - Family Medicine - Inman
Other providers in Inman, SC
- Marianne Smith
- Marla Gay Snodgrass
- South Carolina CVS Pharmacy LLC
- Spartanburg Medical Center
- Spartanburg Medical Center
- Spartanburg School District Two
- Stephanie Sexton Spear
- Specialized Respiratory Services, LLC
- Cheltsea Staley
- Sterling Chiropractic
All providers in Inman, 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 Apr 27, 2026. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.