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MR. CLABURN JACOB UPCHURCH
NPI 1982574653
Physician Assistant in Snellville, GA

Active since November 07, 2025PECOS EnrolledAccepts Medicare Assignment
1700 TREE LN, SNELLVILLE, GA 30078(678) 205-4299 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Claburn Jacob Upchurch NPPES

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

MR. CLABURN JACOB UPCHURCH (NPI 1982574653) is an individual physician assistant in Snellville, Georgia and active in the NPI registry since November 2025. He is enrolled in Medicare PECOS, is affiliated with Piedmont Eastside Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1982574653
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. CLABURN JACOB UPCHURCH
Location Address1700 TREE LNSnellville, GA 30078-6782
Mailing Address234 Old Jackson RdMcdonough, GA 30252-6946
Phone(678) 205-4299
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 7, 2025
NPPES CertifiedNovember 7, 2025
✔ NPI 1982574653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1700 TREE LN, Snellville, GA 30078
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Claburn Jacob Upchurch is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981189867
PECOS Enrollment IDI20260328000426
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110192
Location1700 Medical WaySnellville, GA 30078 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30078 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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 20

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

JENNIFER SHANNON BURRELL MD
Pediatrics
1700 TREE LN, SUITE 110
SNELLVILLE, GA 30078
Gwinnett County (770) 972-0812
RACHEL LEIGH SMITH AU.D.
Audiologist
1700 TREE LN, SUITE 320
SNELLVILLE, GA 30078
Gwinnett County (770) 985-6233
A PAUL SHERLAG M.D.
Urology
1700 TREE LN, SUITE 420
SNELLVILLE, GA 30078
Gwinnett County (770) 979-9427
MRS. CARRIE WILSON CPNP
Nurse Practitioner (Pediatrics)
1700 TREE LN, SUITE 110
SNELLVILLE, GA 30078
Gwinnett County (678) 775-1501
SUBURBAN HEMATOLOGY ONCOLOGY ASSOCIATES, PC
Internal Medicine (Hematology & Oncology)
1700 TREE LN, SUITE 490
SNELLVILLE, GA 30078
Gwinnett County (770) 979-2828
DR. BIMBOLA AROTIBA M.D.
Obstetrics & Gynecology
1700 TREE LN
SNELLVILLE, GA 30078
Gwinnett County (770) 972-0330
MRS. LAURIE P. CHANDLER C.P.N.P.
Nurse Practitioner (Pediatrics)
1700 TREE LN, SUITE 110
SNELLVILLE, GA 30078
Gwinnett County (770) 972-0812
UJUKA A ILOABUCHI M.D.
General Acute Care Hospital (Women)
1700 TREE LN, SUITE 290
SNELLVILLE, GA 30078
Gwinnett County (770) 972-0330

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 Claburn Upchurch's NPI number?

The NPI number for Claburn Upchurch is 1982574653. It was assigned to this individual provider in the NPPES registry on November 7, 2025.

Where is Claburn Upchurch located?

Claburn Upchurch practices at 1700 Tree Ln, Snellville, GA 30078. The listed phone number is (678) 205-4299.

What is Claburn Upchurch's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Claburn Upchurch enrolled in Medicare?

Yes. Claburn Upchurch is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Claburn Upchurch affiliated with any hospitals?

According to CMS data, Claburn Upchurch is affiliated with Piedmont Eastside Medical Center.

When was this NPI record last updated?

The NPPES record for Claburn Upchurch was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.