Upstate Ellie LLC
NPI 1457073694ActiveOrganization· Specialist· Greenville, SC
Specialist in Greenville, South Carolina, registered in NPPES in September 2022. The authorized official on file is Kristin N. Hall, Operations Leader. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1457073694 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 14, 2022 |
| Last updated in NPPES | May 1, 2026 |
| Certified by provider | May 1, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
| Marriage & Family Therapist | 106H00000X | — | — |
| Pediatrics | 208000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (SC) |
|---|
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