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AID UPSTATE
NPI 1023563459
Clinic/Center - Medical Specialty in Greenville, SC

Active since August 15, 2016CLIA 42D1044508 · Waiver
811 PENDLETON ST, SUITE 11, GREENVILLE, SC 29601(864) 250-0607(864) 250-0608 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 2, 2024, Jun 3, 2024, Jul 21, 2022 and 3 more (6 updates tracked since 2016).

About Aid Upstate NPPES

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

AID UPSTATE (NPI 1023563459) is a healthcare organization registered as a medical specialty in Greenville, South Carolina and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through August 21, 2027, maintains a secondary practice location in Anderson, and lists Rajee Rao, Ceo, as its authorized official.

NPPES Registry Identity

NPI1023563459
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameAID UPSTATE
Location Address811 PENDLETON ST, SUITE 11Greenville, SC 29601-3209
Mailing AddressPo Box 105Greenville, SC 29602-0105 · (864) 250-0607 · Fax (864) 250-0608
Phone(864) 250-0607
Fax(864) 250-0608
Organization SubpartNo
Authorized OfficialRajee RaoCeo · (864) 250-0607
Enumeration DateAugust 15, 2016
Last NPPES UpdateDecember 2, 20246 updates tracked since enumeration
NPPES CertifiedDecember 2, 2024
✔ NPI 1023563459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
811 PENDLETON ST, Greenville, SC 29601
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Secondary Practice Location 1

Location 1118 Montgomery DrAnderson, SC 29621-3334 · Phone (864) 226-9144 · Fax (864) 226-9121

Other Identifiers 1

MedicaidGP7542SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aid Upstate is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Aid Upstate, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Brian Lum, MD
Family Practice
NPI 1245359132
811 PENDLETON ST STE 10
Greenville, SC 29601
(864) 250-0607
✔ PECOS✔ Accepts MedicareSame address
John Schrank, M.D.
Infectious Disease
NPI 1194777821
811 PENDLETON STREET SUITES 10 & 11
Greenville, SC 29601
(864) 250-0607
✔ PECOS✔ Accepts MedicareSame address
Prerana Roth, M.D.
Infectious Disease
NPI 1548434863
317 SAINT FRANCIS DR STE 340
Greenville, SC 29601
(864) 255-1834
✔ PECOS✔ Accepts Medicare0.3 mi
Elise Resnick, D.O.
Psychiatry
NPI 1063538023
505 N MAIN ST STE C
Greenville, SC 29601
(864) 232-2734
✔ PECOS✔ Accepts Medicare1.6 mi
Heather Swofford, MSN RN FNP-BC
Nurse Practitioner
NPI 1841639051
890 W FARIS RD
Greenville, SC 29605
(864) 455-9033
✔ PECOS✔ Accepts Medicare1.8 mi
Lazedra Cade, APRN
Nurse Practitioner
NPI 1043860562
118 MONTGOMERY DR
Anderson, SC 29621
(864) 226-9144
✔ PECOS✔ Accepts Medicare25 mi
Joseph Halliday, D.O.
Internal Medicine
NPI 1134357692
703 N FANT ST
Anderson, SC 29621
(864) 512-3915
✔ PECOS✔ Accepts Medicare26 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 42D1044508

Aid Upstate · Greenville, SC
Active · expires Aug 21, 2027
CLIA Number42D1044508
Laboratory TypeOther
Certificate Effective DateAugust 22, 2025
Certificate Expiration DateAugust 21, 2027
Laboratory DirectorBrian Lum
Laboratory Phone(864) 250-0607
Laboratory LocationAid Upstate811 Pendleton St Bldg #10, Greenville, SC 29601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Aid Upstate's NPI number?

The NPI number for Aid Upstate is 1023563459. It was assigned to this organization in the NPPES registry on August 15, 2016.

Where is Aid Upstate located?

Aid Upstate is located at 811 Pendleton St Suite 11, Greenville, SC 29601. The listed phone number is (864) 250-0607.

What is Aid Upstate's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Aid Upstate enrolled in Medicare?

Yes. Aid Upstate is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Aid Upstate?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians reassign their Medicare billing to Aid Upstate, in Family Practice, Infectious Disease, Internal Medicine, Nurse Practitioner and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Aid Upstate hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D1044508) is associated with this NPI, valid through August 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Aid Upstate accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer list Aid Upstate 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 Aid Upstate was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.