Active NPI
Thomas A Upshaw, M.D.
- Psychiatry Physician
- Mount Pleasant, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 18101
- Practice address
- 728 S Shelmore Blvd Ste 103
Mount Pleasant, SC 29464-1601 - Phone
- (843) 972-0262
- Fax
- (843) 972-0263
- NPI assigned
- Jul 31, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 18101 | SC | Primary |
Addresses
Primary practice location
728 S Shelmore Blvd Ste 103
Mount Pleasant, SC 29464-1601
Mailing address
728 S Shelmore Blvd Ste 103
Mount Pleasant, SC 29464-1601
Phone (843) 972-0262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 181010 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | thomasupshawMD@TAUM-SC.direct.office.nextgen.com | Direct |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Emory University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
728 S Shelmore Blvd
Suite 103
Mount Pleasant, SC 29464-1601
Hospital & facility affiliations
- Amedisys Hospice of South Carolina
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18101 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas a Upshaw, MD, PA | Current | Accepting new patients |
Locations
728 S Shelmore Blvd
Ste 103
Mt Pleasant, SC 29464
Phone (843) 972-0262
1470 Ben Sawyer Blvd
Ste 17
Mt Pleasant, SC 29464
921 Bowman Rd
Mt Pleasant, SC 29464
Phone (843) 375-2901
Interoperability endpoints
- thomasupshawmd@taum-sc.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 1
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.
-
- Adult Mental Health Clinic/Center
- Mt Pleasant, SC
- NPI 1669727566
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Florence, SC
- NPI 1437160058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1306002142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "728 S SHELMORE BLVD STE 103",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294641601",
"telephone_number": "843-972-0262",
"fax_number": "843-972-0263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "728 S SHELMORE BLVD STE 103",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294641601",
"telephone_number": "843-972-0262",
"fax_number": "843-972-0263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UPSHAW",
"first_name": "THOMAS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-31",
"last_updated": "2023-09-18",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SC",
"license": "18101",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "181010",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "thomasupshawMD@TAUM-SC.direct.office.nextgen.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "728 S Shelmore Blvd Ste 103",
"city": "Mount Pleasant",
"state": "SC",
"country_code": "US",
"postal_code": "294641601",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.