Organization Active NPI

Spartanburg & Pelham OB-GYN,P.a.

  • Obstetrics Physician
  • Spartanburg, SC
National Provider Identifier
1861447682
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
SPARTANBURG & PELHAM OB-GYN,P.A.
Practice address
250 N Grove Medical Park Dr
Spartanburg, SC 29303-4222
Phone
(864) 208-2345
Fax
(864) 208-2366
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

Name
Lillian Lightner
Title
Practice Administrator
Phone
(864) 208-2345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0000X Primary

Addresses

Primary practice location

250 N Grove Medical Park Dr
Spartanburg, SC 29303-4222

Mailing address

250 N Grove Medical Park Dr
Spartanburg, SC 29303-4222
Phone (864) 208-2345

Other identifiers 1

IdentifierTypeStateIssuer
PA1854MedicaidSC

Other names 1

  • Spartanburg OB-GYN Former legal business name

National Provider Directory

National Provider Directory

Locations

2755 S Highway 14
Ste 2250
Greer, SC 29650

250 North Grove Medical Park Dr
#D
Spartanburg, SC 29303
Phone (864) 208-2345

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21299/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1861447682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N GROVE MEDICAL PARK DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293034222",
            "telephone_number": "864-208-2345",
            "fax_number": "864-208-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N GROVE MEDICAL PARK DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293034222",
            "telephone_number": "864-208-2345",
            "fax_number": "864-208-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTANBURG & PELHAM OB-GYN,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "LIGHTNER",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "864-208-2345"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA1854",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spartanburg OB-GYN",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 19, 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.