Upstate Carolina Medical LLC
NPI 1457002123 · Nurse Practitioner · Clemson, SC
Upstate Carolina Medical LLC is a Nurse Practitioner organization in Clemson, SC (NPI 1457002123).
Provider details
- NPI number
- 1457002123
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jessica Vassallo, Owner/ Nurse Practitioner(864) 903-9604
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Additional practice locations (1)
- 205 Central Park Ln Ste aSeneca, SC 29678-1156Phone: (864) 903-9604
Registry dates
- Enumerated
- 2022-01-14
- Last updated
- 2022-06-01
- Certified
- 2022-06-01
Frequently asked questions
- What is Upstate Carolina Medical LLC's NPI number?
- Upstate Carolina Medical LLC's National Provider Identifier (NPI) is 1457002123, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Upstate Carolina Medical LLC?
- Upstate Carolina Medical LLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Upstate Carolina Medical LLC located?
- Upstate Carolina Medical LLC's practice location on file with NPPES is 144 Thomas Green Blvd Ste 232, Clemson, SC 29631-2291.
- What is Upstate Carolina Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Upstate Carolina Medical LLC is (864) 722-5203.
- Who is the authorized official for Upstate Carolina Medical LLC?
- The authorized official listed on Upstate Carolina Medical LLC's NPPES record is Jessica Vassallo, Owner/ Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Upstate Carolina Medical LLC's NPI active?
- Yes — Upstate Carolina Medical LLC's NPI (1457002123) is active in the NPPES registry as of the last update on 2022-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.