Organization Active NPI

Sage Family Medicine, LLC

  • Family Medicine Physician
  • Spartanburg, SC
National Provider Identifier
1972475259
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SAGE FAMILY MEDICINE, LLC
Practice address
2306 Chesnee Hwy Ste 9
Spartanburg, SC 29303-5507
Phone
(864) 641-1350
Fax
(833) 760-3717
NPI assigned
Sep 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Authorized official

Name
Saiward Glenn, MDNPI 1497010524
Title
Owner/Physician
Phone
(864) 641-1350

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2306 Chesnee Hwy Ste 9
Spartanburg, SC 29303-5507

Mailing address

2306 Chesnee Hwy Ste 9
Spartanburg, SC 29303-5507
Phone (864) 641-1350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260402001040 SC Part B Supplier - Clinic/Group Practice 6507341005 Receives reassigned benefits from 1 practitioner
Practice locations: Spartanburg, SC

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2332250Sage Family Medicine, LLC2306 Chesnee Hwy Ste 9, Spartanburg, SC 29303Certificate of waiverOct 15, 2027

National Provider Directory

National Provider Directory

Locations

2306 Chesnee Hwy
Ste 9
Spartanburg, SC 29303
Phone (864) 641-1350

Practitioners & affiliated clinicians

Practitioners 1

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": "1758153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1972475259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 CHESNEE HWY STE 9",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293035507",
            "telephone_number": "864-641-1350",
            "fax_number": "833-760-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 CHESNEE HWY STE 9",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293035507",
            "telephone_number": "864-641-1350",
            "fax_number": "833-760-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "SAIWARD",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "864-641-1350",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "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 Sep 18, 2025; 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.