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UPSTATE PRIMARY CARE MEDICINE LLC
NPI 1275366874
Family Medicine in Easley, SC

Active since August 21, 2024CLIA 42D2341194 · Microscopy
810 POWDERSVILLE RD STE B, EASLEY, SC 29642(864) 551-2764(864) 307-9322 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Upstate Primary Care Medicine Llc NPPES

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

UPSTATE PRIMARY CARE MEDICINE LLC (NPI 1275366874) is a healthcare organization registered as a family medicine in Easley, South Carolina and active in the NPI registry since August 2024. The organization holds a CLIA Microscopy certificate valid through March 29, 2028 and lists Heather Way, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1275366874
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameUPSTATE PRIMARY CARE MEDICINE LLC
Location Address810 POWDERSVILLE RD STE BEasley, SC 29642-3704
Mailing Address810 Powdersville Rd Ste BEasley, SC 29642-3704 · (864) 551-2764 · Fax (864) 307-9322
Phone(864) 551-2764
Fax(864) 307-9322
Organization SubpartNo
Authorized OfficialHeather WayPractice Administrator · (843) 345-0832
Enumeration DateAugust 21, 2024
Last NPPES UpdateAugust 22, 2024
NPPES CertifiedAugust 22, 2024
✔ NPI 1275366874 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.
810 POWDERSVILLE RD STE B, Easley, SC 29642
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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 BlueCross BlueShield of South Carolina, First Choice Next.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 Primary Care Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Upstate Primary Care Medicine LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Charles Way, MD
Family Practice
NPI 1679589451
810 POWDERSVILLE RD STE B
Easley, SC 29642
(864) 729-1029
✔ PECOS✔ Accepts MedicareSame address

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 for Provider-Performed Microscopy Procedures (PPMP) 42D2341194

Upstate Primary Care Medicine LLC · Powdersville, SC
Active · expires Mar 29, 2028
CLIA Number42D2341194
Laboratory TypePhysician Office
Certificate Effective DateMarch 30, 2026
Certificate Expiration DateMarch 29, 2028
Laboratory DirectorCharles F. Way
Laboratory Phone(864) 551-2764
Laboratory LocationUpstate Primary Care Medicine LLC810 Powdersville Road Suite B, Powdersville, SC 29642
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Upstate Primary Care Medicine LLC's NPI number?

The NPI number for Upstate Primary Care Medicine LLC is 1275366874. It was assigned to this organization in the NPPES registry on August 21, 2024.

Where is Upstate Primary Care Medicine LLC located?

Upstate Primary Care Medicine LLC is located at 810 Powdersville Rd Ste B, Easley, SC 29642. The listed phone number is (864) 551-2764.

What is Upstate Primary Care Medicine LLC's specialty?

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

Is Upstate Primary Care Medicine LLC enrolled in Medicare?

Yes. Upstate Primary Care Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Upstate Primary Care Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Upstate Primary Care Medicine LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Upstate Primary Care Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D2341194) is associated with this NPI, valid through March 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Upstate Primary Care Medicine LLC accept?

Health plans from BlueCross BlueShield of South Carolina and First Choice Next list Upstate Primary Care Medicine LLC 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 Upstate Primary Care Medicine LLC was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.