Thomas a Upshaw, MD, PA

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

18101 Issued in SC

Legal business name

THOMAS A UPSHAW, MD, PA

Practice address

728 S Shelmore Blvd Ste 103
Mt Pleasant, SC 29464-1601

Phone

(843) 972-0262

Fax

(843) 972-0263

NPI assigned

Jul 17, 2012

Last updated

Sep 18, 2023By 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. Thomas A Upshaw, M.D.NPI 1306002142

Title

President

Phone

(843) 754-4655

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Thomas A Upshaw, M.D.

  • Psychiatry Physician
  • Mount Pleasant, SC
  • NPI 1306002142
  Medicare reassignment NPD Authorized official
• Richard A Lacavera, DO

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1952410763
  NPD (past)

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1669727566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 NEWPORT CT",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294928262",
            "telephone_number": "843-754-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 S SHELMORE BLVD STE 103",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294641601",
            "telephone_number": "843-972-0262",
            "fax_number": "843-972-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS A UPSHAW, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "UPSHAW",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-754-4655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "SC",
            "license": "18101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David C Theobald, DC
• Therapeutic Counseling South Carolina
• Therapy Group of Charleston LLC (Therapy Group of Charleston)
• James A Thesing, DO
• Jessica Thiry
• Thomas M Leland MD PA
• Thomas Russell Wieters, M.D., P.a. (The Vein Center)
• Carol Scott Thomas, LPC
• Karen W Thomas, MD
• Robert Thomas

• Adult Mental Health Clinic/Center in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Adult Mental Health Clinic/Center in South Carolina

• 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.
• 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.