Meridian Wellness & Med-Spa of SC LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MERIDIAN WELLNESS & MED-SPA OF SC LLC

Practice address

1874 E Main St
Spartanburg, SC 29307-2306

Phone

(864) 772-3100

NPI assigned

Feb 1, 2023

Organization subpart

No

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

Authorized official

Name

Gary Koenig

Title

Ceo

Phone

(864) 316-7440

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1831895895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1874 E MAIN ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293072306",
            "telephone_number": "864-772-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1874 E MAIN ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293072306",
            "telephone_number": "864-772-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN WELLNESS & MED-SPA OF SC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "KOENIG",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-316-7440"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rico V I Mendoza, MD
• Jonathan Alemu Mengistu, MD
• James B. Menius, D.C.
• Brandi Merchant, NP
• Pmichiaele Meredith
• Colin Stuart Mermey, D.C.
• Cathy Ann Messer, D.O
• Katharine Coplin Messer, PA-C
• Erin B Metcalf, P.A.
• Cheri Cobb Metts, M.S., CCC-SLP

• Family Nurse Practitioner in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.