DENISE MICHELLE MATHIS NPI 1710224217

NPI Information

  • NPI: 1710224217
  • Provider Name: DENISE MICHELLE MATHIS
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2660 REIDVILLE RD UNIT 1
    SPARTANBURG, SC
    ZIP 29301
  • Phone: (864) 560-9696

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NPI Details

Denise Michelle Mathis is a family nurse practitioner in Spartanburg, SC. Denise Michelle Mathis NPI is 1710224217. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2660 REIDVILLE RD UNIT 1
SPARTANBURG, SC
ZIP 29301-512
Phone: (864) 560-9696

The NPI 1710224217 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/3/2013 and was last updated on 10/10/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily18111SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1NP2242MEDICAIDSOUTH CAROLINA
2SC04416067OTHERSOUTH CAROLINAMEDICARE PIN
3P01190556OTHERSOUTH CAROLINARAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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