Organization Active NPI

Upstate Spine & Joint, LLC.

  • Internal Medicine Physician
  • Greer, SC
National Provider Identifier
1366953762
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
UPSTATE SPINE & JOINT, LLC.
Practice address
3115 Brushy Creek Rd Ste C-2
Greer, SC 29650-0903
Phone
(864) 801-1980
Fax
(864) 801-1312
NPI assigned
Oct 12, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Wayne G Laney, DCNPI 1093771255
Title
Chiropractor
Phone
(864) 801-1980

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X SC
Internal Medicine Physician 207R00000X SC Primary
Physical Therapist 225100000X SC

Addresses

Primary practice location

3115 Brushy Creek Rd Ste C-2
Greer, SC 29650-0903

Mailing address

3115 Brushy Creek Rd Ste C-2
Greer, SC 29650-0903
Phone (864) 801-1980

Other practice location 1

3115 Brushy Creek Rd
Greer, SC 29650-0903
Phone (864) 801-1980

National Provider Directory

National Provider Directory

Locations

3115 Brushy Creek Rd
Greer, SC 29650
Phone (864) 801-1980

3115 Brushy Creek Rd
Ste C2
Greer, SC 29650
Phone (864) 801-1980

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1366953762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 BRUSHY CREEK RD STE C-2",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296500903",
            "telephone_number": "864-801-1980",
            "fax_number": "864-801-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 BRUSHY CREEK RD STE C-2",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296500903",
            "telephone_number": "864-801-1980",
            "fax_number": "864-801-1312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3115 Brushy Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Greer",
            "state": "SC",
            "postal_code": "296500903",
            "country_code": "US",
            "telephone_number": "864-801-1980",
            "fax_number": "864-801-1312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UPSTATE SPINE & JOINT, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "LANEY",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "864-801-1980",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.