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UPSTATE OCCUPATIONAL MEDICINE
NPI 1063445971
Family Medicine in Spartanburg, SC

Active since July 07, 2006CLIA Certified · 2 labs
1241 BOILING SPRINGS RD, SPARTANBURG, SC 29303(864) 591-0992(864) 591-0776 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Upstate Occupational Medicine NPPES

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

UPSTATE OCCUPATIONAL MEDICINE (NPI 1063445971) is a healthcare organization registered as a family medicine in Spartanburg, South Carolina and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Ira Gordon Early, President, as its authorized official.

NPPES Registry Identity

NPI1063445971
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWELLNESS FAMILY MEDICINE
Location Address1241 BOILING SPRINGS RDSpartanburg, SC 29303-2258
Mailing Address1241 Boiling Springs RdSpartanburg, SC 29303-2258 · (864) 591-0992 · Fax (864) 591-0776
Phone(864) 591-0992
Fax(864) 591-0776
Organization SubpartNo
Authorized OfficialIra Gordon EarlyPresident · (864) 591-0992
Enumeration DateJuly 7, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063445971 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.
1241 BOILING SPRINGS RD, Spartanburg, SC 29303
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Other Names 1

Other NameUpstate Occupational Medicine

Other Identifiers 1

MedicaidGP2944SC

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

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)

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

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Upstate Occupational Medicine, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Betty Abernathy, F.N.P.
Nurse Practitioner
NPI 1306827431
1241 BOILING SPRINGS RD
Spartanburg, SC 29303
(864) 591-0992
✔ PECOS✔ Accepts MedicareSame address
Ira Early, M.D., M.P.H.
General Practice
NPI 1144218876
1241 BOILING SPRINGS RD
Spartanburg, SC 29303
(864) 591-0992
✔ PECOS✔ Accepts Medicare0.4 mi
Amber Bullard, APRN
Nurse Practitioner
NPI 1023694163
111 DOCTOR CIR
Columbia, SC 29203
(800) 491-0909
✔ PECOS✔ Accepts Medicare84 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 2

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 42D0967663

Upstate Occupational Medicine/Wellness · Spartanburg, SC
Active · expires Aug 4, 2028
CLIA Number42D0967663
Laboratory TypePhysician Office
Certificate Effective DateAugust 5, 2026
Certificate Expiration DateAugust 4, 2028
Laboratory DirectorDr. Ira G. Early
Laboratory Phone(864) 591-0992
Laboratory LocationUpstate Occupational Medicine/Wellness1241 Boiling Springs Road, Spartanburg, SC 29303
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D2346093

Upstate Occupational Medicine/Wellness · Spartanburg, SC
Active · expires Jun 23, 2028
CLIA Number42D2346093
Laboratory TypePhysician Office
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorIra G. Early
Laboratory Phone(864) 591-0992
Laboratory LocationUpstate Occupational Medicine/Wellness1241 Boiling Springs Road, Spartanburg, SC 29303
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 Wellness Family Medicine's NPI number?

The NPI number for Wellness Family Medicine is 1063445971. It was assigned to this organization in the NPPES registry on July 7, 2006. The provider is also known as Upstate Occupational Medicine.

Where is Wellness Family Medicine located?

Wellness Family Medicine is located at 1241 Boiling Springs Rd, Spartanburg, SC 29303. The listed phone number is (864) 591-0992.

What is Wellness Family Medicine's specialty?

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

Is Wellness Family Medicine enrolled in Medicare?

Yes. Wellness Family Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wellness Family Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Wellness Family Medicine, in General Practice and Nurse Practitioner. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wellness Family Medicine hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Wellness Family Medicine accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and First Choice Next list Wellness Family Medicine 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 Wellness Family Medicine 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 6 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.