Upstate Family Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

UPSTATE FAMILY MEDICINE LLC

Practice address

1517 N Fant St
Anderson, SC 29621-4707

Phone

(864) 226-1899

Fax

(864) 226-5847

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Kyle NelsonNPI 1316998180

Title

DO

Phone

(864) 226-1899

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Kyle K Nelson, DO

  • Family Medicine Physician
  • Anderson, SC
  • NPI 1316998180
  NPD (past) Authorized official

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1053361758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214707",
            "telephone_number": "864-226-1899",
            "fax_number": "864-226-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214707",
            "telephone_number": "864-226-1899",
            "fax_number": "864-226-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "864-226-1899"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3691",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David M Twigg Jr., FNP-C
• Jennie Tyner
• Shameika Leanore Underwood
• Unique Faith Home Care Services LLC
• Upstate Behavioral Health
• Upstate Gastroenterology, PA
• Upstate Medical Staffing, Inc.
• Upstate Physical Therapy
• Upstate Psychiatric Consulting LLC
• Upstate Rehab Services

• Family Medicine Physician in Anderson, SC
• Providers in Anderson, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.