UPSTATE PLASTIC SURGERY
NPI 1013075712
Plastic Surgery in Greer, SC

Active since December 05, 2006CLIA 42D1056130 · Waiver
301 THE PARKWAY, GREER, SC 29650(864) 968-0168(864) 968-9248 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Upstate Plastic Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UPSTATE PLASTIC SURGERY (NPI 1013075712) is a healthcare organization registered as a plastic surgery in Greer, South Carolina and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through July 6, 2028 and lists Kevin M Keller, Phy Owner, as its authorized official.

NPPES Registry Identity

NPI1013075712
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameUPSTATE PLASTIC SURGERY
Location Address301 THE PARKWAYGreer, SC 29650
Mailing Address301 The ParkwayGreer, SC 29650 · (864) 968-0168 · Fax (864) 968-9248
Fax(864) 968-9248
Organization SubpartNo
Authorized OfficialKevin M KellerPhy Owner · (864) 968-0168
Enumeration DateDecember 5, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1013075712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
301 THE PARKWAY, Greer, SC 29650

Other Identifiers 4

Other1467569574Npi Kevin M Keller Md
Other1558475574Npi Elizabeth A Rothman M
Medicaid161372SC
Other1952419863Npi James E Lovett Iii Md

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D1056130

Upstate Plastic Surgery Surgery Center On The Parkway · Greer, SC
Active · expires Jul 6, 2028
CLIA Number42D1056130
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 7, 2026
Certificate Expiration DateJuly 6, 2028
Laboratory DirectorDr. Elizabeth R. Blakemore
Laboratory Phone(864) 968-0168
Laboratory LocationUpstate Plastic Surgery Surgery Center On The Parkway301 The Parkway, Greer, SC 29650
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Plastic Surgery
301 THE PARKWAY
GREER, SC 29650
Plastic Surgery
301 THE PARKWAY
GREER, SC 29650
Plastic Surgery
301 THE PARKWAY
GREER, SC 29650

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Upstate Plastic Surgery's NPI number?

The NPI number for Upstate Plastic Surgery is 1013075712. It was assigned to this organization in the NPPES registry on December 5, 2006.

Where is Upstate Plastic Surgery located?

Upstate Plastic Surgery is located at 301 The Parkway, Greer, SC 29650. The listed phone number is (864) 968-0168.

What is Upstate Plastic Surgery's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Does Upstate Plastic Surgery hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D1056130) is associated with this NPI, valid through July 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Upstate Plastic Surgery accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and InStil Health and 1 other insurer list Upstate Plastic Surgery as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Upstate Plastic Surgery was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.