PRISMA HEALTH UNIVERSITY MEDICAL GROUP (NPI# 1114542081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114542081 |
| Entity Type | Organization |
| Organization Name | PRISMA HEALTH UNIVERSITY MEDICAL GROUP |
| Practice Address |
712 Grove Rd Greenville SC 29605-4211 |
| Mailing Address |
1 Independence Pt Ste 212 Greenville SC 29615-4536 |
| Practice Telephone | 8645221439 |
| Practice Fax Number | 8645221428 |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-06-16 |
| Authorized Official Name | KRISTI ANN LAWRENCE (DIRECTOR) |
| Authorized Official Telephone | 8643854790 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRISMA HEALTH UNIVERSITY MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174H00000X | Health Educator | Other Service Providers |
| Other Name | Type Code |
|---|---|
| PH Diabetes Prevention Program - Upstate | Doing Business As Name - Organization |
| PH Diabetes Prevention Program-Upstate | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1730786096 | Prisma Health University Medical Group | Radiology | 1519 Marion St, Columbia, SC 29201-2910 | 2020-10-08 |
| 1295218642 | Prisma Health University Medical Group | Internal Medicine | 106 John St, Easley, SC 29640-1415 | 2018-09-12 |
| 1619411899 | Prisma Health University Medical Group | Durable Medical Equipment & Medical Supplies | 109 Fleetwood Dr, Suite B, Easley, SC 29640-2019 | 2016-12-07 |
| 1225480486 | Prisma Health University Medical Group | Pediatrics | 208 Frontage Rd, Suite 1, Clemson, SC 29631-1691 | 2016-07-12 |
| 1265884852 | Prisma Health University Medical Group | Durable Medical Equipment & Medical Supplies | 333 S Pine St, Spartanburg, SC 29302-2622 | 2016-07-07 |
| 1053786483 | Prisma Health University Medical Group | Nurse Practitioner | 701 Grove Rd, Greenville, SC 29605-4210 | 2015-12-10 |
| 1558754978 | Prisma Health University Medical Group | Orthopaedic Surgery | 10630 Clemson Blvd, Suite 100, Seneca, SC 29678-4546 | 2015-03-10 |
| 1528465374 | Prisma Health University Medical Group | Anesthesiology | 67 Creekside Park Ct, Greenville, SC 29615-4810 | 2014-11-21 |
| 1396141875 | Prisma Health University Medical Group | Optometrist | 104 Simpson St, Greenville, SC 29605-4413 | 2014-11-12 |
| Street Address |
712 GROVE RD |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-4211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669538062 | Arrhythmia Consultants, P.a. | Internal Medicine | 712 Grove Rd, Greenville, SC 29605-4211 | 2006-12-29 |
| 1891313573 | Brittany Jacobson | Health Educator | 712 Grove Rd, Greenville, SC 29605-4211 | 2020-07-09 |
| 1164048997 | Heath C Neilson | Health Educator | 712 Grove Rd, Greenville, SC 29605-4211 | 2020-06-17 |
| 1366065716 | Tabatha R Darby | Nurse Practitioner | 712 Grove Rd, Greenville, SC 29605-4211 | 2020-05-20 |
| 1013388438 | Gina Elise Fulton | Nurse Practitioner | 712 Grove Rd, Greenville, SC 29605-4211 | 2015-10-12 |
| 1881904852 | Emily Langstaff Merrell | Nurse Practitioner | 712 Grove Rd, Greenville, SC 29605-4211 | 2010-10-08 |
| 1942520002 | Marianna Evelyn Pretulak | Nurse Practitioner | 712 Grove Rd, Greenville, SC 29605-4211 | 2010-06-10 |
| 1588895353 | Amy Gourley Perry | Nurse Practitioner | 712 Grove Rd, Greenville, SC 29605-4211 | 2009-07-28 |
| 1760667737 | Andrew James Brenyo | Internal Medicine | 712 Grove Rd, Greenville, SC 29605-4211 | 2008-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
| 1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
| 1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
| 1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
| 1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
| 1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
| 1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
| Find all providers in zip 29605 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598383911 | Kailani Ameele | Health Educator | 150 Howell Cir Apt 323, Greenville, SC 29615-4940 | 2020-07-13 |
| 1750848701 | Wyneishia Thornton-malone | Health Educator | 1460 E John Cv, Greenville, MS 38703-6610 | 2019-02-26 |
| 1215460837 | Alicia Brown | Health Educator | 716 E Fairfield Rd Ste 121, Greenville, SC 29605-3688 | 2017-04-10 |
| 1215486790 | Young Men's Christian Association of The Fox Cities, Inc. | Health Educator | W6931 School Rd, Greenville, WI 54942-9639 | 2016-09-26 |
| 1487995726 | Kimberly Hill-barrow | Health Educator | 2223 Hemby Ln, Greenville, NC 27834 | 2013-03-12 |
| 1629353305 | Lifecycle LLC | Health Educator | 14 Whitsett St, Greenville, SC 29601-3137 | 2011-10-13 |
| 1487251062 | Violet Noe | Health Educator | 101 Heart Dr, Greenville, NC 27834-8982 | 2020-10-06 |
| 1891313573 | Brittany Jacobson | Health Educator | 712 Grove Rd, Greenville, SC 29605-4211 | 2020-07-09 |
| 1164048997 | Heath C Neilson | Health Educator | 712 Grove Rd, Greenville, SC 29605-4211 | 2020-06-17 |
| 1598389710 | Tesa Edge | Health Educator | 309 Tanner Rd, Greenville, SC 29607-5923 | 2020-06-03 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
Please comment or provide details below to improve the information on PRISMA HEALTH UNIVERSITY MEDICAL GROUP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.