Active NPI
Rejuven Joint Care
- Multi-Specialty Clinic/Center
- Spartanburg, SC
National Provider Identifier
1922862846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- REJUVEN JOINT CARE
- Practice address
- 365 E Blackstock Rd Ste C
Spartanburg, SC 29301-3762 - Phone
- (864) 203-5715
- Fax
- (629) 333-0251
- NPI assigned
- Feb 12, 2024
- Last updated
- Feb 12, 2024
- Organization subpart
- Yes
- Parent organization
- REJUVEN JOINT CARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Pysell
- Title
- Owner
- Phone
- (423) 505-8321
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
365 E Blackstock Rd Ste C
Spartanburg, SC 29301-3762
Mailing address
242 Adley Way
Greenville, SC 29607-6511
Phone (864) 203-5715
National Provider Directory
National Provider Directory- Part of
- Rejuven Joint Care
Locations
365 E Blackstock Rd
#C
Spartanburg, SC 29301
Phone (864) 203-5715
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Multi-Specialty Clinic/Center
- Greenville, SC
- NPI 1376114033
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Forest City, NC
- NPI 1457302804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707696000000",
"number": "1922862846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "242 ADLEY WAY",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296076511",
"telephone_number": "864-203-5715",
"fax_number": "629-333-0251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 E BLACKSTOCK RD STE C",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293013762",
"telephone_number": "864-203-5715",
"fax_number": "629-333-0251"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REJUVEN JOINT CARE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "REJUVEN JOINT CARE",
"enumeration_date": "2024-02-12",
"last_updated": "2024-02-12",
"certification_date": "2024-02-11",
"status": "A",
"authorized_official_last_name": "PYSELL",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "423-505-8321"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.