Active NPI
Spartanburg & Pelham OB-GYN,P.a.
- Obstetrics Physician
- Spartanburg, SC
National Provider Identifier
1861447682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA1854 | Medicaid | SC |
Other names 1
- Spartanburg OB-GYN
National Provider Directory
National Provider DirectoryLocations
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
- 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.
-
- Family Nurse Practitioner
- Spartanburg, SC
- NPI 1093164857
-
- Specialist
- Spartanburg, SC
- NPI 1083679112
-
- Obstetrics & Gynecology Physician
- Spartanburg, SC
- NPI 1598722290
-
- Specialist
- Greer, SC
- NPI 1902862402
-
- Obstetrics & Gynecology Physician
- Greenville, SC
- NPI 1508390188
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
- Southern Vascular Institute LLC
- Heleno Souza, PHYSICAL THERAPIST
- Gabor F Sovenyhazy, MD
- Kamia Spalding, MS
- Jima Schaen Sparks, MCD CCC/SLP
- Spartanburg Allergy and Asthma P a
- Spartanburg Anesthesia Associates LLC
- Spartanburg Chiropractic Group
- Spartanburg Christian Discipleship Center'S Reach Program
- Spartanburg Dental Associates
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.