Wellness Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WELLNESS FAMILY MEDICINE

Practice address

1241 Boiling Springs Rd
Spartanburg, SC 29303-2258

Phone

(864) 591-0992

Fax

(864) 591-0776

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ira Gordon Early, M.D., M.P.H.NPI 1144218876

Title

President

Phone

(864) 591-0992

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Upstate Occupational Medicine Other name

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 5

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

• Ira Gordon Early Jr., M.D., M.P.H.

  • Family Medicine Physician
  • Spartanburg, SC
  • NPI 1144218876

  SC

  Medicare reassignment Care Compare group Authorized official
• Amber Auten Bullard, APRN

  • Family Nurse Practitioner
  • Columbia, SC
  • NPI 1023694163

  SC

  Medicare reassignment Care Compare group NPD
• Betty Eller Abernathy, F.N.P.

  • Family Nurse Practitioner
  • Spartanburg, SC
  • NPI 1306827431

  SC

  Medicare reassignment Care Compare group
• Misti Jackson Burgess, FNP

  • Family Nurse Practitioner
  • Greenville, SC
  • NPI 1538140025
  NPD (past)
• Shannon Green, APRN

  • Nurse Practitioner
  • Greenville, SC
  • NPI 1992772073
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063445971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 BOILING SPRINGS RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032258",
            "telephone_number": "864-591-0992",
            "fax_number": "864-591-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 BOILING SPRINGS RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032258",
            "telephone_number": "864-591-0992",
            "fax_number": "864-591-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EARLY",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-591-0992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., M.P.H."
    },
    "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": "GP2944",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upstate Occupational Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alma Denise Weinberg, APRN
• Weir Ear Nose & Throat
• David F Weir, MD
• Richard M Weir, MD
• Elizabeth Leanne Welling, PA-C
• Kelly Wells, NP
• Kenneth Wayne Wells, M.D.
• Kevin W Wells, MA, CACI
• Sherian Wells
• Wellspring Family Dental, PA

• All providers in Spartanburg, SC
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.