Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blair Gault

Individual provider Family Nurse Practitioner · NPI 1003395385

Blair Gault is a Nurse Practitioner in Union, South Carolina. Qualified in 2018, 8 years ago. Practices with Regenesis Organization Community Health Center, a 35-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
8
Licensed in
SC
In the registry since
2018
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Practice location Address checks out

115 Thomas St Ste B
Union, SC 29379-2147
Phone: (864) 582-2411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 22024 (SC)

Record details

NPI number1003395385
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 8, 2018
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026
Mailing addressPo Box 5158, Spartanburg, SC 29304-5158

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Regenesis Organization Community Health Center — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Union