ADAPTIVE MEDICAL UPSTATE, INC. (NPI# 1215049366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215049366 |
| Entity Type | Organization |
| Organization Name | ADAPTIVE MEDICAL UPSTATE, INC. |
| Practice Address |
48 Lawrence St Lyman SC 29365-1637 |
| Practice Telephone | 8644725541 |
| Practice Fax Number | 8644725564 |
| Mailing Telephone | 8644725541 |
| Mailing Fax Number | 8644725564 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GREG TUCKER (PRESIDENT) |
| Authorized Official Telephone | 8644725541 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | DME817 | 05 |
| Street Address |
48 LAWRENCE ST |
| City | LYMAN |
| State | SC |
| Zip Code | 29365-1637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902203813 | Stephanie Walker | Nurse Practitioner | 1295 Old Spartanburg Hwy, Careteam Health, Lyman, SC 29365 | 2014-11-21 |
| 1013356161 | Tyger River Pediatric Dentistry | Dentist | 312 Spartanburg Hwy., Lyman, SC 29365 | 2013-06-21 |
| 1649436791 | Ashlan Village Retirement Community | Assisted Living Facility | 415 Brenda Way, Lyman, SC 29365 | 2008-07-29 |
| 1538379086 | Lyman Dental Associates PC | Dentist | 301 Old Spartanburg Rd., Lyman, SC 29365 | 2007-05-23 |
| 1437297462 | Tina Louise Gaudiano | Counselor | 84 Groce Rd, Lyman, SC 29365 | 2007-02-02 |
| 1255477014 | Cathy Ford Sparks | Counselor | Middle Tyger Community Center, 84 Grace Rd, Lyman, SC 29365 | 2007-01-29 |
| 1194828657 | Kirk E Houston Dmd Pa | Dentist | 12313 Greenville Highway, Lyman, SC 29365 | 2006-09-07 |
| 1245347210 | Grady Stoddard Brooks Jr. | Dentist | 301 Old Spartanburg Road, Lyman, SC 29365 | 2006-08-24 |
| 1750494894 | Brian Kingston Armstrong | Dentist | 350 S Spartanburg Hwy, Lyman, SC 29365 | 2006-08-15 |
| 1164456075 | John Blair Pierce | Physical Therapy Assistant | 104 Gwendolyn Aevnue, Lyman, SC 29365 | 2006-07-10 |
| Find all providers in zip 29365 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144456518 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 200 Spartanburg Hwy, Lyman, SC 29365-1808 | 2009-05-29 |
| 1437252111 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 101 Locust St, Lyman, SC 29365-1503 | 2006-09-07 |
| 1396775540 | Edc Drug Stores, Inc. | Durable Medical Equipment & Medical Supplies | 12203 Greenville Hwy, Lyman, SC 29365-1513 | 2006-07-04 |
| 1467545822 | Bi-lo, LLC. | Durable Medical Equipment & Medical Supplies | 12189 Greenville Hwy, Lyman, SC 29365-1511 | 2006-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174007 | Premier Transit Solutions, LLP | Durable Medical Equipment & Medical Supplies | 2025 Ebenezer Rd Ste J5, Rock Hill, SC 29732-1079 | 2020-11-03 |
| 1053912444 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 2501 May River Crossing, Bluffton, SC 29910 | 2020-11-03 |
| 1457950875 | 360 Durable Medical Supplies & Equipment | Durable Medical Equipment & Medical Supplies | 1314 N Main St Ste D, Fountain Inn, SC 29644-1332 | 2020-10-19 |
| 1255938320 | Peninsula Cosmetic and Family Dentistry, Inc. | Durable Medical Equipment & Medical Supplies | 538 Savannah Hwy, Charleston, SC 29407-7210 | 2020-10-02 |
| 1700483971 | Rsfh - Ati Physical Therapy, LLC | Durable Medical Equipment & Medical Supplies | 8950 University Blvd Ste 200a, North Charleston, SC 29406-9115 | 2020-10-01 |
| 1356955983 | Greenville Health Corporation | Durable Medical Equipment & Medical Supplies | 1400 Pickens St Fl 3, Columbia, SC 29201-3465 | 2020-09-01 |
| 1437769494 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 1400 W Georgia Rd, Simpsonville, SC 29680-6305 | 2020-08-05 |
| 1154947208 | Southern Way Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 145 Thomas Green Blvd Ste 100, Clemson, SC 29631-2172 | 2020-06-24 |
| 1841812252 | Yolanda Yvonne Ervin | Durable Medical Equipment & Medical Supplies | 1030 Oakland Ave Ste 104, Rock Hill, SC 29732-3074 | 2020-05-08 |
| 1750901674 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 100 Wade Hampton Blvd, Greenville, SC 29609-5735 | 2020-04-21 |
| Find all providers with the same taxonomy | ||||
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| 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.