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JANA UPSHAW MD
NPI 1093823957
Family Medicine - Sports Medicine in Mount Pleasant, SC

Active since August 29, 2006PECOS Enrolled
966 HOUSTON NORTHCUTT BLVD STE E, MOUNT PLEASANT, SC 29464(843) 471-0375(843) 806-4300 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 11, 2020, Sep 24, 2019, Sep 20, 2019 and 19 more (22 updates tracked since 2018).

About Jana Upshaw Md NPPES

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

JANA UPSHAW MD (NPI 1093823957) is an individual sports medicine provider in Mount Pleasant, South Carolina, licensed in South Carolina (18649) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093823957
Entity TypeIndividualFemale
Primary Taxonomy207QS0010X
Provider Legal NameJANA UPSHAWCredential: MD
Location Address966 HOUSTON NORTHCUTT BLVD STE EMount Pleasant, SC 29464-3487
Mailing Address2880 Tricom StNorth Charleston, SC 29406-9171 · (843) 797-5050 · Fax (843) 797-3633
Phone(843) 471-0375
Fax(843) 806-4300
Sole ProprietorNo
Enumeration DateAugust 29, 2006
Last NPPES UpdateMarch 11, 202022 updates tracked since enumeration
NPPES CertifiedMarch 11, 2020
✔ NPI 1093823957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in SC · 18649
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedPediatricsTaxonomy 208000000X · License 2010-01542 (NC)
Also ListedPediatrics · Sports MedicineTaxonomy 2080S0010X · License 18649 (SC)
966 HOUSTON NORTHCUTT BLVD STE E, Mount Pleasant, SC 29464
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Other Identifiers 1

Medicaid186499SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jana Upshaw Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jana Upshaw reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Winning Health Wellness LLC
0.4 mi
Sports Medicine
966 HOUSTON NORTHCUTT BLVD
Mount Pleasant, SC 29464
  • Reassigned Medicare billing, South Carolina enrollment
NPI 1366869190 (843) 471-0375
Acs Primary Care Physicians - Southeast PC
90 mi
Emergency Medicine
809 82ND PKWY
Myrtle Beach, SC 29572
  • Reassigned Medicare billing, South Carolina enrollment
  • 559 clinicians in this Medicare group
NPI 1861430555 (843) 692-1000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29464 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

ANDREW J. MCMARLIN D.O.
Family Medicine (Sports Medicine)
966 HOUSTON NORTHCUTT BLVD STE E
MOUNT PLEASANT, SC 29464
Charleston County (843) 471-0375

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 Jana Upshaw's NPI number?

The NPI number for Jana Upshaw is 1093823957. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Jana Upshaw located?

Jana Upshaw practices at 966 Houston Northcutt Blvd Ste E, Mount Pleasant, SC 29464. The listed phone number is (843) 471-0375.

What is Jana Upshaw's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Jana Upshaw enrolled in Medicare?

Yes. Jana Upshaw is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jana Upshaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jana Upshaw reassigns Medicare benefits to 2 organizations: Winning Health Wellness LLC (Mount Pleasant, SC) and Acs Primary Care Physicians - Southeast PC (Myrtle Beach, SC). Each 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 Jana Upshaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jana Upshaw accept?

Health plans from First Choice Next list Jana Upshaw 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 Jana Upshaw was last updated on March 11, 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.