WELLBORN UPSTATE, LLC


Address: 850 Wade Hampton Blvd, Building B-3, Suite 102, Greenville, SC 29609-4947
Phone: 8333232676

WELLBORN UPSTATE, LLC (NPI# 1033672233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033672233
Entity Type Organization
Organization Name WELLBORN UPSTATE, LLC
Practice Address 850 Wade Hampton Blvd
Building B-3, Suite 102
Greenville
SC 29609-4947
Mailing Address 1955 Drayton Rd Unit 832
Drayton
SC 29333-5030
Practice Telephone 8333232676
Practice Fax Number 8883407874
Mailing Telephone 9095757323
Enumeration Date 2019-04-13
Last Update Date 2020-03-17
Authorized Official Name JENNIFER STEWART (OWNER, LM)
Authorized Official Telephone 9095757323
Authorized Official Credential IBCLC, CPM, LM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 174N00000X Lactation Consultant, Non-RN Other Service Providers
Y 176B00000X Midwife Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NPPES 1245520774 01
SC NPPES 1003920331 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1000 S Pine St, Spartanburg, SC 293023375 8333232676

Office Location

Street Address 850 WADE HAMPTON BLVD
BUILDING B-3, SUITE 102
City GREENVILLE
State SC
Zip Code 29609-4947

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003920331 Amy Bixby-redman Midwife 850 Wade Hampton Blvd, Building B-3 Suite 102, Greenville, SC 29609-4947 2006-08-17
1447599642 Sarah Eddleman Marriage & Family Therapist 850 Wade Hampton Blvd, Suite C, Greenville, SC 29609-4945 2013-02-07
1003167990 All About Change Counselor 850 Wade Hampton Blvd, Suite C, Greenville, SC 29609-4945 2012-10-02
1245520774 Jennifer G Stewart Midwife 850 Wade Hampton Blvd, Building B-3, Suite 102, Greenville, SC 29609-4947 2011-04-18
1154658334 Patricia Jean Ries Sawyer Counselor 850 Wade Hampton Blvd, Suite C, Greenville, SC 29609-4945 2009-11-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326522376 Piney Mountain Rx LLC Pharmacy 2498 North Pleasantburg Drive, Suite A, Greenville, SC 29609 2018-09-17
1417434655 Kathryn Dorothy Muschick Pediatrics 900 W. Faris Dr., Greenville, SC 29609 2018-07-20
1942705645 The Wright Home Care, LLC Social Worker 217 E Stone Ave Ste 8, Greenville, SC 29609 2018-03-26
1205388386 Galina Hufstetler Physical Therapist 414 Summit Drive, Apt. 313, Greenville, SC 29609 2016-10-25
1811303225 Cal Jones LLC Pharmacy 961 Montebello Dr, Suite 2, Greenville, SC 29609 2014-07-07
1982954319 John C Shaughnessy Pharmacist 1141 State Park Road, Greenville, SC 29609 2012-09-13
1770842726 Neil S Sondov Counselor 1100 Rutherford Road, Greenville, SC 29609 2012-05-11
1790044915 Crystal Ervin Counselor 1 Chick Springs Rd Ste 210a, Greenville, SC 29609 2012-05-08
1881992840 Cherrydale Dental Associates, LLC Dentist 105 State Park Rd, Greenville, SC 29609 2011-03-01
1649584483 Paul E Waters Pharmacist 1 East Stone Ave, Greenville, SC 29609 2010-08-04
Find all providers in zip 29609

Taxonomy Information

Taxonomy Code 176B00000X
Grouping Other Service Providers
Classification Midwife

Taxonomy Definition

A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.
Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912507336 Blake August Mcgarel Midwife 3707 State Park Rd, Greenville, SC 29609-6848 2020-10-26
1225665102 Emily Megan Graham Midwife 106 Welcome St, Greenville, SC 29611-5654 2020-03-23
1316412687 Rachel Tiller Midwife 1196 Ft Jefferson Ave, Greenville, OH 45331-4533 2018-10-12
1841537412 Audrey Joanna Stucker Midwife 2406 Church St, Greenville, TX 75401-3531 2013-01-15
1699027664 Grace Susanne Hannon Midwife 380 Abby Cir, Greenville, SC 29607-6428 2012-10-15
1669785887 Upstate Birth Center Midwife 1250 Wade Hampton Blvd, Suite C, Greenville, SC 29615 2010-07-16
1003920331 Amy Bixby-redman Midwife 850 Wade Hampton Blvd, Building B-3 Suite 102, Greenville, SC 29609-4947 2006-08-17
1619926094 Amy Beth Leland Midwife 23 Mills Ave, Greenville, SC 29605-4015 2006-05-10
1114551470 Rooted Birth Midwifery Midwife 106 Welcome St, Greenville, SC 29611-5654 2020-02-26
1538550827 Kristine Liaz Oglesby Midwife 1120 Grove Rd, Suite B, Greenville, SC 29605-4656 2015-02-09
Find all providers in GREENVILLE

Competitor

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City GREENVILLE
Zip Code 29609

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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