OrganizationActive
Union Hospital District
NPI 1780823187 · Pediatric Adolescent Medicine Physician · Union, SC
Provider details
- NPI number
- 1780823187
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tami Pettit, Cha Director Physician Services(864) 427-4081
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
407 W. South St. Ste. C
Union, SC 29379-2771
Phone: (864) 429-8846
Fax: (864) 429-9093
Street-level locationGet directions
Mailing address
720 S Duncan Byp
Union, SC 29379-7830
Other names (DBA / former)
- Doing business as
- Cha Upstate Pediatrics
Registry dates
- Enumerated
- 2009-02-10
- Last updated
- 2013-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.