NPIMap

Organization Active NPI

Upstate Lung and Critical Care Specialists, PC

  • Pulmonary Disease Physician
  • Gaffney, SC
National Provider Identifier
1598792806
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
UPSTATE LUNG AND CRITICAL CARE SPECIALISTS, PC
Practice address
1529 N Limestone St
Gaffney, SC 29340-4737
Phone
(864) 487-9931
NPI assigned
Jun 26, 2006
Last updated
Apr 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Authorized official

Name
Gregory J. Feldman, MD
Title
President
Phone
(864) 573-6320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X Primary

Addresses

Primary practice location

1529 N Limestone St
Gaffney, SC 29340-4737

Mailing address

1529 N Limestone St
Gaffney, SC 29340-4737
Phone (864) 487-9931

Other identifiers 1

IdentifierTypeStateIssuer
GP3212MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041011000276 SC Part B Supplier - Clinic/Group Practice 7719946185 Receives reassigned benefits from 11 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gaffney, SC; Spartanburg, SC; Union, SC

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D0992812Upstate Lung &Critical Care Spec PC1529 N Limestone Street, Gaffney, SC 29340Certificate of waiverOct 25, 2027

National Provider Directory

National Provider Directory

Locations

1529 N Limestone St
Gaffney, SC 29340
Phone (864) 487-9931

1091 Boiling Springs Rd
Spartanburg, SC 29303
Phone 8645736320219

1330 Boiling Springs Rd
Ste 1100
Spartanburg, SC 29303

1005 Thompson Blvd
#A
Union, SC 29379
Phone (864) 427-0278

319 W South St
#C
Union, SC 29379
Phone (864) 427-0278

Practitioners & affiliated clinicians

Practitioners 12

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": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1598792806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 N LIMESTONE ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293404737",
            "telephone_number": "864-487-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 N LIMESTONE ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293404737",
            "telephone_number": "864-487-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE LUNG AND CRITICAL CARE SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-573-6320",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3212",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaffney, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.