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CAROL MARIE UPCHURCH MD/PHD
NPI 1063351856
Student in an Organized Health Care Education/Training Program in Lafayette, LA

Active since March 26, 2026PECOS Enrolled
2390 W CONGRESS ST, LAFAYETTE, LA 70506(337) 261-6166 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carol Marie Upchurch Md/phd NPPES

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

CAROL MARIE UPCHURCH MD/PHD (NPI 1063351856) is an individual student in an organized health care education/training program in Lafayette, Louisiana and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063351856
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCAROL MARIE UPCHURCHCredential: MD/PHD
Location Address2390 W CONGRESS STLafayette, LA 70506-4205
Mailing Address2314 Gravier St Apt 4New Orleans, LA 70119-7599
Phone(337) 261-6166
Sole ProprietorNo
Enumeration DateMarch 26, 2026
NPPES CertifiedMarch 26, 2026
✔ NPI 1063351856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2390 W CONGRESS ST, Lafayette, LA 70506
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carol Marie Upchurch Md/phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

ALICIA RUDDOCK ROURK RD, LDN
Dietitian, Registered
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Lafayette Parish (337) 261-6113
LEZETTE G. VIENNE FNP
Nurse Practitioner
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Lafayette Parish (337) 261-6000
DR. SHEUNG MAN ALEXANDER SIN M.D.
Family Medicine (Sports Medicine)
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Lafayette Parish (615) 322-5000
DR. RONALD TYLER HEBERT MD
Family Medicine
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Lafayette Parish (337) 261-6690
CELIA MARIE THIBODEAUX PT
Physical Therapist
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Lafayette Parish (337) 261-6700
CASSIE CLARK
Internal Medicine
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Lafayette Parish (337) 261-6000
MONA ANN HENRY
Pharmacy Technician
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Lafayette Parish (337) 261-6239
CHAD JOSEPH MATHEWS MD
Family Medicine
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Lafayette Parish (337) 288-8891

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 Carol Upchurch's NPI number?

The NPI number for Carol Upchurch is 1063351856. It was assigned to this individual provider in the NPPES registry on March 26, 2026.

Where is Carol Upchurch located?

Carol Upchurch practices at 2390 W Congress St, Lafayette, LA 70506. The listed phone number is (337) 261-6166.

What is Carol Upchurch's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Carol Upchurch enrolled in Medicare?

Yes. Carol Upchurch is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carol Upchurch was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.