Landin Carson, MD
Individual provider Active NPI Internal Medicine Physician · Spartanburg, SC
NPI 1891471587 · NPPES record last updated Jun 28, 2023
Key facts
- NPI
- 1891471587
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- LL90291 (SC)
- Practice address
- 101 E. Wood St
Spartanburg, SC 29303-3098 - Phone
- (864) 560-6285
- NPI assigned
- Jun 26, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231010001171 | SC | Order and Referring Only - Diagnostic Radiology |
1052766144 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | LL90291 | SC | Yes |
Addresses
Primary practice location
101 E. Wood St
Spartanburg, SC 29303-3098
Mailing address
101 E. Wood St
Spartanburg, SC 29303-3098
Other providers in Spartanburg, SC
- Emilie Suzanne Carr
- Paolo Carrelli
- Stefanie Carrigan
- Charlie Carrouth
- Kristy Lee Ann Carruthers
- Lawanna S Carson
- Shannon E Carson
- Cynthia E. Cartee
- Angelia Carter
- Brewer McCann Carter
All providers in Spartanburg, SC · Internal 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 Jun 28, 2023. 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.