Wellborn Upstate, LLC

Primary specialty

MidwifeTaxonomy code 176B00000X

Legal business name

WELLBORN UPSTATE, LLC

Practice address

902 N Pleasantburg Dr Ste C
Greenville, SC 29607-1600

Phone

(864) 583-5831

Fax

(888) 340-7874

NPI assigned

Apr 13, 2019

Organization subpart

No

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

Authorized official

Name

Jennifer Stewart, IBCLC, CPM, LMNPI 1245520774

Title

Owner, LM

Phone

(909) 575-7323

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer G Stewart, IBCLC, CPM, LM

  • Midwife
  • Greenville, SC
  • NPI 1245520774

  Lactation Consultant, Non-RN

  NPD Authorized official
• Amy Bixby-Redman, LM

  • Midwife
  • Greenville, SC
  • NPI 1003920331
  NPD (past)

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

{
    "created_epoch": "1555113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1033672233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 DRAYTON RD UNIT 832",
            "city": "DRAYTON",
            "state": "SC",
            "postal_code": "293335030",
            "telephone_number": "909-575-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 N PLEASANTBURG DR STE C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296071600",
            "telephone_number": "864-583-5831",
            "fax_number": "888-340-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLBORN UPSTATE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-13",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER, LM",
        "authorized_official_telephone_number": "909-575-7323",
        "authorized_official_credential": "IBCLC, CPM, LM"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1245520774",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Well Greenville LLC
• Wellness First Chiropractic P.a.
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• Charlene Wells, MSN,NNP
• David Howard Wells, MD
• Lisa Marie Wells, P.T.

• Midwife in Greenville, SC
• Providers in Greenville, SC by specialty
• Midwife in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.