Carolyn Providence Upchurch, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-12455 Issued in NC

Practice address

293 Hospital Rd Ste C
Sylva, NC 28779-5195

Phone

(828) 631-8711

NPI assigned

May 26, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, TN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Knoxville Hma Physician Management, LLCGroup PAC ID 6103097316, 118 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Physicians Regional Medical Center Hospital, Powell, TN, CCN 440120

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carolyn.upchurch.1@4694.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Knoxville Hma Physician Management, LLC

  • Pulmonary Disease Physician
  • Knoxville, TN
  • NPI 1629356969
  Medicare reassignment Care Compare group
• Hot Springs Health Program, Inc.

  • Federally Qualified Health Center (FQHC)
  • Marshall, NC
  • NPI 1942277454
  Medicare reassignment
• Hot Springs Health Program, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hot Springs, NC
  • NPI 1376510875
  NPD
• Hot Springs Health Program, Inc.

  • Physical Therapist
  • Marshall, NC
  • NPI 1417335670
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Metro Knoxville Hma LLC

  • General Acute Care Hospital
  • Powell, TN
  • NPI 1043292899
  Care Compare affiliation

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1235877382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 HOSPITAL RD STE C",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795195",
            "telephone_number": "828-631-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 HOSPITAL RD STE C",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795195",
            "telephone_number": "828-631-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPCHURCH",
        "first_name": "CAROLYN",
        "middle_name": "PROVIDENCE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-12455",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "PA6415",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Turner, NC PTA #694
• Thomas John Turrentine IV, OD
• Kristen Tyler
• Heather Ulrich, PHD
• Paul Ulrich, DO
• Nancy Cristina Valverde, M.A, PHD
• Anton Van Duuren, MD
• Van Oostendorp DDS and Van Oostendorp DMD PLLC
• Robert Vancampen, CRNA
• Timothy John Vanderkwaak, M.D.

• Physician Assistant in Sylva, NC
• Providers in Sylva, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.