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Upstate Mobile Medicine

Upstate Mobile Medicine is a healthcare organization registered as Family Medicine Physician in Inman, SC, holding Type 2 (organization) NPI 1407904162 since 2007. The authorized official on file is Mark Martin, Physician.

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NPI 1407904162
Entity type Organization (Type 2)
Legal business name Upstate Mobile Medicine
Practice address 125 TIMBERLAKE CIR, Inman, SC, 29349
Phone 8644940999
Fax 8687520951
Enumeration date 2007-01-08
Last updated in NPPES 2020-08-22

Authorized official

Name Mark Martin
Title Physician
Phone 8644940999

Taxonomy & classification

Taxonomy code Specialty Primary License State
207Q00000X Family Medicine Physician Primary

Other identifiers

Identifier Type State Issuer
GP4214 Medicaid SC
Copy-ready billing details
Provider: Upstate Mobile Medicine
NPI: 1407904162
Taxonomy: 207Q00000X (Family Medicine Physician)
Address: 125 TIMBERLAKE CIR, Inman, SC, 29349

Verify this record

Cross-check NPI 1407904162 against the authoritative CMS record: view Upstate Mobile Medicine on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What is the NPI number for Upstate Mobile Medicine?
The NPI for Upstate Mobile Medicine is 1407904162, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Upstate Mobile Medicine?
NPPES lists Mark Martin (Physician) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.