Carolina Neurology of Spartanburg

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

CAROLINA NEUROLOGY OF SPARTANBURG

Practice address

541 Floyd Rd
Spartanburg, SC 29307-1520

Phone

(864) 585-6179

Fax

(864) 585-5403

NPI assigned

Jan 16, 2013

Last updated

Sep 23, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carol Kooistra, MDNPI 1598741837

Title

Physician

Phone

(864) 585-6179

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: carolinaneurologyofspartanburg@carolinaneurology.springchartsdirect.com
• Direct secure messaging: cneuro@carolinaneurology.springchartsdirect.com
• Direct secure messaging: david@carolinaneurology.springchartsdirect.com

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carol A Kooistra, MD

  • Neurology Physician
  • Spartanburg, SC
  • NPI 1598741837
  Medicare reassignment Care Compare group NPD Authorized official
• David Devon Wilt, FNP

  • Nurse Practitioner
  • Greenville, SC
  • NPI 1083614739
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1922345529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 CENTENNIAL BLVD STE 300",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372091105",
            "telephone_number": "844-614-2354",
            "fax_number": "844-278-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 FLOYD RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071520",
            "telephone_number": "864-585-6179",
            "fax_number": "864-585-5403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 Harbison Blvd Ste R",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292122222",
            "country_code": "US",
            "telephone_number": "803-598-1407",
            "fax_number": "803-752-2891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4400 Fort Jackson Blvd Ste 600C",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292091028",
            "country_code": "US",
            "telephone_number": "803-721-9808",
            "fax_number": "803-680-3864",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1903 N Highway 17 Ste 102",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "SC",
            "postal_code": "294649481",
            "country_code": "US",
            "telephone_number": "844-509-1404",
            "fax_number": "844-278-8635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1125 Woodruff Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296074111",
            "country_code": "US",
            "telephone_number": "864-947-4773",
            "fax_number": "864-973-6279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAROLINA NEUROLOGY OF SPARTANBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-16",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "KOOISTRA",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "864-585-6179",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Family Acupuncture LLC
• Carolina First Transportation Ambulance of South Carolina (C.F.T. Ambulance of South Carolina)
• Carolina Foot Care LLC
• Carolina Health & Spine, LLC
• Carolina Homecare Medical Equipment Ctr
• Carolina Orthopaedic and Neurosurgical Associates
• Carolina Orthopaedic and Neurosurgical Associates
• Carolina Orthotics and Prosthetics LLC
• Carolina Pediatric Dentistry
• Carolina Pedorthic, LLC

• Neurology Physician in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Neurology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.