Savannah Thompson Uldrick

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MPA.4286PA Issued in SC

Practice address

1325 Spring St
Greenwood, SC 29646-3860

Phone

(864) 725-7272

NPI assigned

Feb 24, 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 SC

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Family Physicians of Spartanburg, PC

  • Family Medicine Physician
  • Spartanburg, SC
  • NPI 1629228382
  Medicare reassignment

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1285380501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 CHUMLEY RD",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "293889679",
            "telephone_number": "864-706-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 SPRING ST",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463860",
            "telephone_number": "864-725-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULDRICK",
        "first_name": "SAVANNAH",
        "middle_name": "THOMPSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "MPA.4286.PA",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "MPA.4286PA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Drew Turner, D.M.D.
• Stephanie C. Turner, M.D.
• William Preston Turner III, M.D.
• Tomeko G Tutt
• Tylan Creek Family Dentistry Greenwood
• Upper Savannah Care Services
• Upper Savannah Radiological Associates PA
• Upstate Behavioral Services
• Uptown Counseling Professionals, LLC
• Uptown Senior, LLC.

• Medical Physician Assistant in Greenwood, SC
• Providers in Greenwood, SC by specialty
• Medical Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.