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WELLFORD MEDICINE, LLC
NPI 1407541022
Family Medicine in Wellford, SC

Active since April 10, 2023CLIA 42D0680881 · Microscopy
102 ASTOR ST, WELLFORD, SC 29385(864) 439-5338(864) 439-4769 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wellford Medicine, Llc NPPES

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

WELLFORD MEDICINE, LLC (NPI 1407541022), doing business as Wellford Family Medicine, is a healthcare organization registered as a family medicine in Wellford, South Carolina and active in the NPI registry since April 2023. The organization holds a CLIA Microscopy certificate valid through October 17, 2027 and lists Misty Petras, Owner, as its authorized official.

NPPES Registry Identity

NPI1407541022
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWELLFORD MEDICINE, LLC
Location Address102 ASTOR STWellford, SC 29385-9622
Mailing Address102 Astor StWellford, SC 29385-9622 · (864) 439-5338 · Fax (864) 439-4769
Phone(864) 439-5338
Fax(864) 439-4769
Organization SubpartNo
Authorized OfficialMisty PetrasOwner · (864) 439-5338
Enumeration DateApril 10, 2023
Last NPPES UpdateApril 12, 2023
NPPES CertifiedApril 12, 2023
✔ NPI 1407541022 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.
102 ASTOR ST, Wellford, SC 29385
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Other Names 1

Doing Business AsWellford Family Medicine

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 of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

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) 42D0680881

Wellford Family Medicine · Wellford, SC
Active · expires Oct 17, 2027
CLIA Number42D0680881
Laboratory TypePhysician Office
Certificate Effective DateOctober 18, 2025
Certificate Expiration DateOctober 17, 2027
Laboratory DirectorRobert B. Harris Jr
Laboratory Phone(864) 439-5338
Laboratory LocationWellford Family Medicine102-A Astor Street, Wellford, SC 29385
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.

Other Providers at the Same Location NPPES 4

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

KELSEY STOKER DNP, APRN, FNP-BC
Nurse Practitioner (Family)
102 ASTOR ST
WELLFORD, SC 29385
Spartanburg County (864) 439-5338
DR. ROBERT HARRIS MD
Family Medicine
102 ASTOR ST
WELLFORD, SC 29385
Spartanburg County (864) 439-5338
WELLFORD FAMILY MEDICINE PC
Family Medicine
102 ASTOR ST
WELLFORD, SC 29385
Spartanburg County (864) 439-5338
MRS. MISTY C PETRAS FNP
Nurse Practitioner (Family)
102 ASTOR ST
WELLFORD, SC 29385
Spartanburg County (864) 439-5338

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 Wellford Medicine, LLC's NPI number?

The NPI number for Wellford Medicine, LLC is 1407541022. It was assigned to this organization in the NPPES registry on April 10, 2023. The provider is doing business as Wellford Family Medicine.

Where is Wellford Medicine, LLC located?

Wellford Medicine, LLC is located at 102 Astor St, Wellford, SC 29385. The listed phone number is (864) 439-5338.

What is Wellford Medicine, LLC's specialty?

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

Does Wellford Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D0680881) is associated with this NPI, valid through October 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wellford Medicine, LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Wellford 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 Wellford Medicine, LLC was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.