Upstate Mobile Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

UPSTATE MOBILE MEDICINE

Practice address

125 Timberlake Cir
Inman, SC 29349-9659

Phone

(864) 494-0999

Fax

(868) 752-0951

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark Andrew Martin, M.D.NPI 1326032566

Title

Physician

Phone

(864) 494-0999

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Andrew Martin, MD

  • Family Medicine Physician
  • Easley, SC
  • NPI 1326032566
  NPD (past) Authorized official

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407904162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 TIMBERLAKE CIR",
            "city": "INMAN",
            "state": "SC",
            "postal_code": "293499659",
            "telephone_number": "864-494-0999",
            "fax_number": "868-752-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 TIMBERLAKE CIR",
            "city": "INMAN",
            "state": "SC",
            "postal_code": "293499659",
            "telephone_number": "864-494-0999",
            "fax_number": "868-752-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE MOBILE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "864-494-0999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4214",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trinity Home Care LLC
• Christina Nichole Turner
• Underwood Family Chiropractic LLC
• David Chad Underwood, D.C.
• Upstate Brain and Spine LLC
• Jacque Kerry Varty
• Ruhi Vasa
• Carrin Sanders Vassey, MT-BC
• George Edward Vess Jr., RPH
• Myrna Vinas-Acevedo, PT

• Family Medicine Physician in Inman, SC
• Providers in Inman, 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, 2020; 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.