OrganizationActive
Aid Upstate
NPI 1023563459 · Medical Specialty Clinic/Center · Greenville, SC
Provider details
- NPI number
- 1023563459
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Rajee Rao, Ceo(864) 250-0607
Specialties & taxonomies
Ambulatory Health Care Facilities
- Case Management Agency251B00000X
Agencies
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
811 Pendleton St
Suite 11
Greenville, SC 29601-3209
Phone: (864) 250-0607
Fax: (864) 250-0608
Street-level locationGet directions
Mailing address
Po Box 105
Greenville, SC 29602-0105
Additional practice locations (1)
- 118 Montgomery DrAnderson, SC 29621-3334Phone: (864) 226-9144Fax: (864) 226-9121
Registry dates
- Enumerated
- 2016-08-15
- Last updated
- 2024-12-02
- Certified
- 2024-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.