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PRISMA HEALTH UNIVERSITY MEDICAL GROUP
NPI 1013244714
Pediatrics - Pediatric Infectious Diseases in Greenville, SC

Active since November 17, 2009
200 PATEWOOD DR, SUITE A200, GREENVILLE, SC 29615(864) 454-5100 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prisma Health University Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRISMA HEALTH UNIVERSITY MEDICAL GROUP (NPI 1013244714) is a healthcare organization registered as a pediatric infectious diseases in Greenville, South Carolina and active in the NPI registry since November 2009. The organization lists Polly Miller, Svp-fin Enterprise Payor Contractin, as its authorized official.

NPPES Registry Identity

NPI1013244714
Entity TypeOrganization
Primary Taxonomy2080P0208X
Legal Business NamePRISMA HEALTH UNIVERSITY MEDICAL GROUP
Location Address200 PATEWOOD DR, SUITE A200Greenville, SC 29615-3593
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842
Phone(864) 454-5100
Organization SubpartNo
Authorized OfficialPolly MillerSvp-fin Enterprise Payor Contractin · (864) 522-2286
Enumeration DateNovember 17, 2009
Last NPPES UpdateMay 14, 2024
NPPES CertifiedMay 14, 2024
✔ NPI 1013244714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0208X
Definition
A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
200 PATEWOOD DR, Greenville, SC 29615
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Other Names 1

Doing Business AsPrisma Health University Medical Group

Other Identifiers 2

Other20041172SC · Select Health Id Number
MedicaidOPAC02SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLOTTE BOCCHINO PT
Physical Therapist
200 PATEWOOD DR, STE C150
GREENVILLE, SC 29615
Greenville County (864) 454-0904
DOMINIC BRUNO GAULT M.D.
Pediatrics (Sleep Medicine)
200 PATEWOOD DR, STE A330
GREENVILLE, SC 29615
Greenville County (864) 454-5660
SANDRA T CALMES NP
Nurse Practitioner (Acute Care)
200 PATEWOOD DR, STE B300
GREENVILLE, SC 29615
Greenville County (864) 454-4200
GREENVILLE HOSPITAL SYSTEM
Clinic/Center (Radiology)
200 PATEWOOD DR, SUITE A16
GREENVILLE, SC 29615
Greenville County (864) 454-2604
JOHN J KUDLAK JR. D.O.
Internal Medicine (Pulmonary Disease)
200 PATEWOOD DR, SUITE B300
GREENVILLE, SC 29615
Greenville County (864) 454-4200
BRUCE HARVEY GRAY D.O.
Internal Medicine
200 PATEWOOD DR, SUITE C300
GREENVILLE, SC 29615
Greenville County (864) 454-8272
MENG ZHOU-WANG MD
Psychiatry & Neurology (Clinical Neurophysiology)
200 PATEWOOD DR, SUITE B350
GREENVILLE, SC 29615
Greenville County (864) 454-4500
PRISMA HEALTH-UPSTATE
General Acute Care Hospital
200 PATEWOOD DR, SUITE C300
GREENVILLE, SC 29615
Greenville County (864) 454-8272

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prisma Health University Medical Group's NPI number?

The NPI number for Prisma Health University Medical Group is 1013244714. It was assigned to this organization in the NPPES registry on November 17, 2009.

Where is Prisma Health University Medical Group located?

Prisma Health University Medical Group is located at 200 Patewood Dr Suite A200, Greenville, SC 29615. The listed phone number is (864) 454-5100.

What is Prisma Health University Medical Group's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

What insurance does Prisma Health University Medical Group accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Prisma Health University Medical Group as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prisma Health University Medical Group was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.