OrganizationActive
Upstate Podiatry Group, PA
NPI 1609415751 · Foot & Ankle Surgery Podiatrist · Greer, SC
Provider details
- NPI number
- 1609415751
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Parent organization
- Upstate Podiatry Group, PA
- Organization subpart
- Yes
- Authorized official
- Stephanie Thomas, Cfo(864) 399-9070
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
105 Mimosa Dr
Greer, SC 29650-1737
Phone: (864) 399-9070
Street-level locationGet directions
Mailing address
801 Se Main St
Simpsonville, SC 29681-7150
Registry dates
- Enumerated
- 2020-01-06
- Last updated
- 2020-01-06
- Certified
- 2020-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.