Organization Active NPI

Usc Upstate

  • Student Health Clinic/Center
  • Spartanburg, SC
National Provider Identifier
1083916647
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
USC UPSTATE
Practice address
995 University Way
Usc Upstate Health Services
Spartanburg, SC 29303-4932
Phone
(864) 503-5000
Fax
(864) 503-5099
NPI assigned
Dec 2, 2010
Last updated
Jul 8, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF SOUTH CAROLINAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Authorized official

Name
Sonya Sawyer Miller
Title
Office Manager
Phone
(864) 503-5116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X NU Primary

Addresses

Primary practice location

995 University Way
Usc Upstate Health Services
Spartanburg, SC 29303-4932

Mailing address

800 University Way
Usc Upstate Health Services
Spartanburg, SC 29303-4932
Phone (864) 503-5000

Other practice location 1

490 Hodge Drive
Spartanburg, SC 29303
Phone (864) 503-5191

Other names 1

  • Health Services (department name) Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D0902324Usc Upstate Health Services490 Hodge Drive, Spartanburg, SC 29303Provider-performed microscopyDec 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Psychology Services Center12 organizations share this tax ID, including this one
Part of
Psychology Services Center

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1083916647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 UNIVERSITY WAY",
            "address_2": "USC UPSTATE HEALTH SERVICES",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293034932",
            "telephone_number": "864-503-5000",
            "fax_number": "864-503-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 UNIVERSITY WAY",
            "address_2": "USC UPSTATE HEALTH SERVICES",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293034932",
            "telephone_number": "864-503-5000",
            "fax_number": "864-503-5099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "490 Hodge Drive",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "29303",
            "country_code": "US",
            "telephone_number": "864-503-5191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "USC UPSTATE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF SOUTH CAROLINA",
        "enumeration_date": "2010-12-02",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SONYA",
        "authorized_official_middle_name": "SAWYER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "864-503-5116"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Services (department name)",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Health Services (department name)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.