Active NPI
Upstate Treatment Specialists LLC
- Methadone Clinic
- Spartanburg, SC
National Provider Identifier
1235909367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- Legal business name
- UPSTATE TREATMENT SPECIALISTS LLC
- Practice address
- 7092 Howard St
Unit E
Spartanburg, SC 29303 - Phone
- (864) 616-5031
- Fax
- (864) 407-4155
- NPI assigned
- Jan 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Marie Nieman
- Title
- Director of Payer Credentialing
- Phone
- (513) 544-1003
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | Primary |
Addresses
Primary practice location
7092 Howard St
Unit E
Spartanburg, SC 29303
Mailing address
4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Phone (864) 616-5031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Opioid treatment program
- Medicare-enrolled since May 17, 2025
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250728003275 | SC | Part B Supplier - Opioid Treatment Program (Otp) | 8224545934 | Practice locations: Spartanburg, SC |
National Provider Directory
National Provider DirectoryLocations
7092 Howard St
Ste E
Spartanburg, SC 29303
Phone (864) 335-6910
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Spartanburg, SC
- NPI 1932560752
-
- Internal Medicine Physician
- West Columbia, SC
- NPI 1104110329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788393600000",
"number": "1235909367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 MONTGOMERY RD STE 400",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452122600",
"telephone_number": "864-616-5031",
"fax_number": "864-407-4155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7092 HOWARD ST",
"address_2": "UNIT E",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "29303",
"telephone_number": "864-616-5031",
"fax_number": "864-407-4155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPSTATE TREATMENT SPECIALISTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-09",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A",
"authorized_official_last_name": "NIEMAN",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "DIRECTOR OF PAYER CREDENTIALING",
"authorized_official_telephone_number": "513-544-1003"
},
"taxonomies": [
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.