PRISMA HEALTH-UPSTATE (NPI# 1700239787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700239787 |
| Entity Type | Organization |
| Organization Name | PRISMA HEALTH-UPSTATE |
| Other Organization Name | PRISMA HEALTH LAURENS FAMILY MED-GRAY CT |
| Practice Address |
9100 Highway 14 Gray Court SC 29645-4152 |
| Mailing Address |
1 Independence Pt Suite 212 Greenville SC 29615-4545 |
| Practice Telephone | 8648764888 |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2020-04-13 |
| Authorized Official Name | POLLY H. MILLER (VP PAYOR STRATEGIES & ALIGNMENT) |
| Authorized Official Telephone | 8645222286 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| GHS Laurens Family Med-Gray Ct | Doing Business As Name - Organization |
| Prisma Health Laurens Family Med-Gray Ct | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396207221 | Prisma Health-upstate | Anesthesiology | 905 Verdae Blvd Ste 102, Greenville, SC 29607-4029 | 2019-04-01 |
| 1760963243 | Prisma Health-upstate | General Acute Care Hospital | 112 John St Ste 104, Easley, SC 29640-1405 | 2018-08-23 |
| 1578044053 | Prisma Health-upstate | General Acute Care Hospital | 11402 Anderson Rd Ste B, Greenville, SC 29611-7560 | 2018-08-23 |
| 1790264497 | Prisma Health-upstate | General Acute Care Hospital | 11404 Anderson Rd, Greenville, SC 29611 | 2018-08-13 |
| 1982159877 | Prisma Health-upstate | Clinic/Center | 741 Se Main St, Simpsonville, SC 29681-3237 | 2016-08-20 |
| 1205459443 | Prisma Health-upstate | Clinic/Center | 807 N Main St, Travelers Rest, SC 29690-1551 | 2020-05-22 |
| 1174161806 | Prisma Health-upstate | Clinic/Center | 11082 N Radio Station Rd, Seneca, SC 29678-1142 | 2019-12-12 |
| 1700424439 | Prisma Health-upstate | Clinic/Center | 12016 N Radio Station Rd, Seneca, SC 29678-1143 | 2019-12-12 |
| 1043857998 | Prisma Health-upstate | Clinic/Center | 103 Whitetail Dr, Walhalla, SC 29691-5837 | 2019-12-10 |
| 1932746815 | Prisma Health-upstate | Clinic/Center | 10110 Clemson Blvd, Seneca, SC 29678-0812 | 2019-12-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Prisma Health-Upstate | 300 E Mcbee Ave Suite 500, Greenville, SC 29601 |
| Street Address |
9100 HIGHWAY 14 |
| City | GRAY COURT |
| State | SC |
| Zip Code | 29645-4152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558305029 | Christopher Todd Nelson | Family Medicine | 9100 Highway 14, Gray Court, SC 29645-4152 | 2006-06-15 |
| 1396306478 | Brittany Edge Thomas | Nurse Practitioner | 9100 Highway 14, Gray Court, SC 29645-4152 | 2019-06-27 |
| 1346622883 | Nathanael Ricardo Benitez | Family Medicine | 9100 Highway 14, Gray Court, SC 29645 | 2015-06-21 |
| 1427440809 | Greenville Health System | Clinic/Center | 9100 Highway 14, Gray Court, SC 29645-4152 | 2015-02-23 |
| 1023029188 | Partners In Health - Rural Health | Clinic/Center | 9100 Highway 14, Gray Court, SC 29645-4152 | 2006-08-11 |
| 1609812189 | Michael Raymond Meeks | Family Medicine | 9100 Highway 14, Gray Court, SC 29645-4152 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740788066 | Zivitski Health Group LLC | Pharmacy | 345 W Main Street, Gray Court, SC 29645 | 2018-02-01 |
| 1053756072 | Joan Williams Greene | Speech-Language Pathologist | 9210 Hwy 14, Gray Court, SC 29645 | 2013-05-03 |
| 1215064571 | Gray Court Pharmacy | Pharmacy | 345 West Main St, Gray Court, SC 29645 | 2007-02-27 |
| 1871192674 | Mlc Homecare LLC | In Home Supportive Care | 363 W Main St, Gray Court, SC 29645 | 2020-10-22 |
| 1518498336 | Spartanburg Medical Center | Family Medicine | 2846 N Old Laurens Rd, Gray Court, SC 29645-3157 | 2017-03-23 |
| 1356745277 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 9032 Highway 14, Gray Court, SC 29645-4151 | 2014-10-21 |
| 1518404375 | Cynthia Goode | Registered Nurse | 9210 Highway 14, Gray Court, SC 29645-4153 | 2017-01-31 |
| 1740218726 | Cynthia Jane Glenn | Midwife | 579 W Circle Rd, Gray Court, SC 29645-6513 | 2006-06-29 |
| 1205202413 | Johnna Revis | Residential Treatment Facility, Physical Disabilities | 5768 Highway 14, Gray Court, SC 29645-6764 | 2015-08-12 |
| 1417325283 | Cradled In Love Birth Services | Doula | 8483 S Old Laurens Rd, Gray Court, SC 29645-6770 | 2015-09-09 |
| Find all providers in zip 29645 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427440809 | Greenville Health System | Clinic/Center | 9100 Highway 14, Gray Court, SC 29645-4152 | 2015-02-23 |
| 1023029188 | Partners In Health - Rural Health | Clinic/Center | 9100 Highway 14, Gray Court, SC 29645-4152 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508482050 | The Palmetto Clinics, LLC | Clinic/Center | 463 Calhoun Ave Ste A-2, Greenwood, SC 29649-2063 | 2020-06-21 |
| 1962969154 | The Palmetto Palace | Clinic/Center | 217 Flat St E, Allendale, SC 29810-4647 | 2019-02-25 |
| 1972014652 | Mcleod Physician Associates II | Clinic/Center | 1040 Marlboro Way Ste 1, Bennettsville, SC 29512-2494 | 2017-10-20 |
| 1508377284 | Mcleod Physician Associates II | Clinic/Center | 1076 Marlboro Way Ste 3, Bennettsville, SC 29512-2495 | 2017-10-20 |
| 1154786960 | R Dale Padgett Md Pa | Clinic/Center | 1727 Villagepark Dr, Orangeburg, SC 29118 | 2015-12-21 |
| 1043602428 | Greenville Health System | Clinic/Center | 208 Frontage Rd Ste 1, Clemson, SC 29631-1671 | 2015-02-23 |
| 1114204153 | Mcleod Physician Associates II | Clinic/Center | 5260 Highway 9, Green Sea, SC 29545-4930 | 2011-11-04 |
| 1700160157 | Mackey Family Practice, Pa | Clinic/Center | 8351 Charlotte Hwy, Suite 200, Indian Land, SC 29707-6552 | 2011-10-04 |
| 1588943021 | Edisto Regional Health Services Inc. | Clinic/Center | 185 Mcgee St, Bamberg, SC 29003-1154 | 2011-08-16 |
| 1124307509 | Coastal Carolina Medical Center, Inc | Clinic/Center | 10911 N Jacob Smart Blvd, D, Ridgeland, SC 29936-2729 | 2011-08-16 |
| Find all providers with the same taxonomy | ||||
| City | GRAY COURT |
| Zip Code | 29645 |
Please comment or provide details below to improve the information on PRISMA HEALTH-UPSTATE.
| 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.