ADULT MEDICINE SPECIALISTS OF EASLEY PA
NPI 1629053749
Internal Medicine in Easley, SC

Active since December 13, 2005CLIA 42D1018486 · Waiver
764 SACO LOWELL RD, EASLEY, SC 29640(864) 855-5525(864) 855-5440 Get Directions Write a Review

NPPES record last updated: January 15, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Adult Medicine Specialists Of Easley Pa NPPES

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

ADULT MEDICINE SPECIALISTS OF EASLEY PA (NPI 1629053749) is a healthcare organization registered as an internal medicine in Easley, South Carolina and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through October 22, 2027 and lists Steven Earl Freeman, President Owner, as its authorized official.

NPPES Registry Identity

NPI1629053749
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameADULT MEDICINE SPECIALISTS OF EASLEY PA
Location Address764 SACO LOWELL RDEasley, SC 29640-3880
Mailing Address764 Saco Lowell RdEasley, SC 29640-3880 · (864) 855-5525 · Fax (864) 855-5440
Fax(864) 855-5440
Organization SubpartNo
Authorized OfficialSteven Earl FreemanPresident Owner · (864) 855-5525
Enumeration DateDecember 13, 2005
Last NPPES UpdateJanuary 15, 2015
✔ NPI 1629053749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in SC · 18695
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
764 SACO LOWELL RD, Easley, SC 29640

Other Identifiers 2

Medicare UPING67386
Medicaid186952SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adult Medicine Specialists Of Easley Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateSouth CarolinaEnrollment IDO20040323001335Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Adult Medicine Specialists Of Easley PA, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1235681123
764 SACO LOWELL RD
Easley, SC 29640
(864) 855-5525
✔ PECOS✔ Accepts Medicare0.3 mi
Internal Medicine
NPI 1538290374
764 SACO LOWELL RD
Easley, SC 29640
(864) 855-5525
✔ PECOS✔ Accepts Medicare0.3 mi
Family Practice
NPI 1427408855
764 SACO LOWELL RD
Easley, SC 29640
(864) 855-5525
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1457440661
201 RICHARD STR
Easley, SC 29640
(864) 855-5525
✔ PECOS3.0 mi
Nurse Practitioner
NPI 1881028330
90 SOUTHSIDE AVE SUITE 350
Asheville, NC 28801
(864) 412-0446
✔ PECOS✔ Accepts Medicare52 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

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 42D1018486

Adult Medicine Specialists Easley · Easley, SC
Active · expires Oct 22, 2027
CLIA Number42D1018486
Laboratory TypePhysician Office
Certificate Effective DateOctober 23, 2025
Certificate Expiration DateOctober 22, 2027
Laboratory DirectorAngie Bell
Laboratory Phone(864) 855-5525
Laboratory LocationAdult Medicine Specialists Easley764 Saco Lowell Road, Easley, SC 29640
CLIA data matches this NPI record on: Address 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 Adult Medicine Specialists Of Easley PA's NPI number?

The NPI number for Adult Medicine Specialists Of Easley PA is 1629053749. It was assigned to this organization in the NPPES registry on December 13, 2005.

Where is Adult Medicine Specialists Of Easley PA located?

Adult Medicine Specialists Of Easley PA is located at 764 Saco Lowell Rd, Easley, SC 29640. The listed phone number is (864) 855-5525.

What is Adult Medicine Specialists Of Easley PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Adult Medicine Specialists Of Easley PA enrolled in Medicare?

Yes. Adult Medicine Specialists Of Easley PA is registered in the Medicare PECOS enrollment system.

When is Adult Medicine Specialists Of Easley PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (South Carolina, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Adult Medicine Specialists Of Easley PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Adult Medicine Specialists Of Easley PA. 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. The largest specialties are Nurse Practitioner (3), Family Practice (1) and Internal Medicine (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Adult Medicine Specialists Of Easley PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D1018486) is associated with this NPI, valid through October 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Adult Medicine Specialists Of Easley PA accept?

Health plans from BlueCross BlueShield of South Carolina list Adult Medicine Specialists Of Easley PA 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 Adult Medicine Specialists Of Easley PA was last updated on January 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.