Upstate Primary Care Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

UPSTATE PRIMARY CARE MEDICINE LLC

Practice address

810 Powdersville Rd Ste B
Easley, SC 29642-3704

Phone

(864) 551-2764

Fax

(864) 307-9322

NPI assigned

Aug 21, 2024

Last updated

Aug 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heather Way

Title

Practice Administrator

Phone

(843) 345-0832

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

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.

• Charles F Way, MD

  • Family Medicine Physician
  • Easley, SC
  • NPI 1679589451
  Medicare reassignment NPD

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1275366874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 POWDERSVILLE RD STE B",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296423704",
            "telephone_number": "864-551-2764",
            "fax_number": "864-307-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 POWDERSVILLE RD STE B",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296423704",
            "telephone_number": "864-551-2764",
            "fax_number": "864-307-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE PRIMARY CARE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "WAY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "843-345-0832"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Erin Michelle Valdez, DMD

• Family Medicine Physician in Easley, SC
• Providers in Easley, 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 Aug 22, 2024; 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.