Upstate Neurology, P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

20771 Issued in SC

Legal business name

UPSTATE NEUROLOGY, P.A.

Doing business as

Upstate Neurology, P.A

Practice address

103 Clair Drive
Suite D
Piedmont, SC 29673

Phone

(864) 295-0051

Fax

(864) 295-0058

NPI assigned

Jul 23, 2007

Last updated

May 13, 2009By 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

Dr. Arthur Lawrence Smith, M.D.NPI 1629000856

Title

President

Phone

(864) 295-0051

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Upstate Neurology, P.A Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 3

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.

• Arthur L Smith, MD

  • Neurological Surgery Physician
  • Piedmont, SC
  • NPI 1629000856
  Medicare reassignment NPD Authorized official
• Rebecca Ann Kemp, APRN

  • Family Nurse Practitioner
  • Anderson, SC
  • NPI 1265698732
  NPD (past)
• Wanda Sexton Samake, DNP, PMHNP, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Greer, SC
  • NPI 1063561876
  NPD (past)

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1487854956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8620",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296048620",
            "telephone_number": "864-295-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CLAIR DRIVE",
            "address_2": "SUITE D",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "29673",
            "telephone_number": "864-295-0051",
            "fax_number": "864-295-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE NEUROLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-295-0051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "20771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3513",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "DG2641",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upstate Neurology, P.A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tylan Creek Family Dentistry
• Unity Transport Group LLC
• Upstate Bariatrics Clinic
• Upstate Clinic of Chiropractic
• Upstate Integrity, LLC (Right at Home)
• Chrisopher Utsey, MA COUNSELING
• Nicole N Valentine
• Value Medical Inc (Value Medical Pharmacy)
• Value Medical Inc. Pharmacy
• Value Medical Southeast Pharmacy

• Specialist in Piedmont, SC
• Providers in Piedmont, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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.