UPSON MEDICAL ASSOCIATES LLC – Anesthesiology Physician, NPI 1871575993
Anesthesiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for UPSON MEDICAL ASSOCIATES LLC
589, Seal Harbor Road, Spruce Head, South Thomaston, Knox County, Maine, 04858, United States
THOMASTON, GA 302860008
Phone: (706) 647-8111
Fax: (706) 647-4389
Type: Mailing
Upson Regional Medical Center, 801, West Gordon Street, Thomaston, Upson County, Georgia, 30286, United States
THOMASTON, GA 302863426
Phone: (706) 647-8111
Fax: (706) 647-4389
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-03-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-01-31 (861 days ago).
Enrollment records
28
Earliest due date
2024-01-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040422000777 | O | Clinic/Group Practice | GA | 2024-01-31 |
| O20240701001370 | O | Clinic/Group Practice | CA | TBD |
| O20240814001924 | O | Clinic/Group Practice | TX | TBD |
| O20240814003311 | O | Clinic/Group Practice | AZ | TBD |
| O20240826001561 | O | Clinic/Group Practice | NV | TBD |
| O20240905004814 | O | Clinic/Group Practice | FL | TBD |
| O20240911000770 | O | Clinic/Group Practice | WA | TBD |
| O20240911002329 | O | Clinic/Group Practice | OR | TBD |
| O20240913000700 | O | Clinic/Group Practice | NJ | TBD |
| O20240913002472 | O | Clinic/Group Practice | VA | TBD |
| O20240917000486 | O | Clinic/Group Practice | PA | TBD |
| O20241002001363 | O | Clinic/Group Practice | NC | TBD |
| O20241007002540 | O | Clinic/Group Practice | KY | TBD |
| O20241013000199 | O | Clinic/Group Practice | UT | TBD |
| O20241014000657 | O | Clinic/Group Practice | SD | TBD |
| O20241017000993 | O | Clinic/Group Practice | DE | TBD |
| O20241018001492 | O | Clinic/Group Practice | LA | TBD |
| O20241028002537 | O | Clinic/Group Practice | CO | TBD |
| O20241114002000 | O | Clinic/Group Practice | WI | TBD |
| O20241206000419 | O | Clinic/Group Practice | TN | TBD |
| O20250123001988 | O | Clinic/Group Practice | SC | TBD |
| O20250501003013 | O | Clinic/Group Practice | ID | TBD |
| O20250930000859 | O | Clinic/Group Practice | RI | TBD |
| O20250930000966 | O | Clinic/Group Practice | NE | TBD |
| O20250930001735 | O | Clinic/Group Practice | DC | TBD |
| O20251007001530 | O | Clinic/Group Practice | IL | TBD |
| O20260203001660 | O | Clinic/Group Practice | MO | TBD |
| O20260311000162 | O | Other | MD | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30286)
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