1. Home
  2. Directory
  3. South Carolina
  4. Anderson
  5. Family Medicine
  6. NPI Profile

UPSTATE FAMILY MEDICINE LLC
NPI 1053361758
Family Medicine in Anderson, SC

Active since May 11, 2006
1517 N FANT ST, ANDERSON, SC 29621(864) 226-1899(864) 226-5847 Get Directions Write a Review

NPPES record last updated: March 14, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Upstate Family Medicine Llc NPPES

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

UPSTATE FAMILY MEDICINE LLC (NPI 1053361758) is a healthcare organization registered as a family medicine in Anderson, South Carolina and active in the NPI registry since May 2006. The organization lists Kyle Nelson, Do, as its authorized official.

NPPES Registry Identity

NPI1053361758
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameUPSTATE FAMILY MEDICINE LLC
Location Address1517 N FANT STAnderson, SC 29621-4707
Mailing Address1517 N Fant StAnderson, SC 29621-4707 · (864) 226-1899 · Fax (864) 226-5847
Phone(864) 226-1899
Fax(864) 226-5847
Organization SubpartNo
Authorized OfficialKyle NelsonDo · (864) 226-1899
Enumeration DateMay 11, 2006
Last NPPES UpdateMarch 14, 2008
✔ NPI 1053361758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1517 N FANT ST, Anderson, SC 29621
Open in Google Maps ↗

Other Identifiers 2

MedicaidGP3691SC
Medicare PIN7648

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

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 Family Medicine LLC's NPI number?

The NPI number for Upstate Family Medicine LLC is 1053361758. It was assigned to this organization in the NPPES registry on May 11, 2006.

Where is Upstate Family Medicine LLC located?

Upstate Family Medicine LLC is located at 1517 N Fant St, Anderson, SC 29621. The listed phone number is (864) 226-1899.

What is Upstate Family Medicine LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Upstate Family Medicine LLC was last updated on March 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.