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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: July 19, 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


The following 20 providers are registered at the same or a nearby location.

JOHN KIM JOHNSON M.D.
Neurological Surgery
200 PATEWOOD DR, SUITE B260
GREENVILLE, SC 29615
Greenville County (864) 454-4600
MS. GAIL D AZAIN RN, FNP
Nurse Practitioner (Family)
200 PATEWOOD DR, SUITE B 350
GREENVILLE, SC 29615
Greenville County (864) 454-4500
OAKTREE MEDICAL CENTRE, PC
Clinic/Center (Pain)
200 PATEWOOD DR, SUITE A 350
GREENVILLE, SC 29615
Greenville County (864) 242-6447
BRYAN SCOTT MOON MD
Orthopaedic Surgery
200 PATEWOOD DR, SUITE C100
GREENVILLE, SC 29615
Greenville County (864) 454-4260
DENISE M JACQUES M.D.
Pediatrics (Adolescent Medicine)
200 PATEWOOD DR, SUITE A120
GREENVILLE, SC 29615
Greenville County (864) 454-2670
GREENVILLE EAR NOSE & THROAT
Clinic/Center (Oral and Maxillofacial Surgery)
200 PATEWOOD DR, BUILDING B SUITE B400
GREENVILLE, SC 29615
Greenville County (864) 454-4368
KELLY M MALENA PA C
Physician Assistant (Medical)
200 PATEWOOD DR, SUITE C300
GREENVILLE, SC 29615
Greenville County (864) 454-8272
JAMES D. SMITH M.D.
Obstetrics & Gynecology
200 PATEWOOD DR, STE A10
GREENVILLE, SC 29615
Greenville County (864) 454-2222
LISA A. SNYDER LISW
Social Worker (Clinical)
200 PATEWOOD DR, SUITE A200
GREENVILLE, SC 29615
Greenville County (864) 454-5115
DOUGLAS E. WINESETT M.D.
Pediatrics (Pediatric Gastroenterology)
200 PATEWOOD DR, SUITE A140
GREENVILLE, SC 29615
Greenville County (864) 454-5125
GASTROENTEROLOGY ASSOCIATES, PA
Internal Medicine (Gastroenterology)
200 PATEWOOD DR, SUITE B200
GREENVILLE, SC 29615
Greenville County (864) 232-7338
DR. LAUREN HAWKINS BATSON PHD
Psychologist
200 PATEWOOD DR, SUITE A200
GREENVILLE, SC 29615
Greenville County (864) 454-5115
ROGER D BLACKWELL PHARMACIST
Pharmacist
200 PATEWOOD DR, SUITE A12
GREENVILLE, SC 29615
Greenville County (864) 454-2369
CAROL ANN ALLEN RDMS
Dietitian, Registered
200 PATEWOOD DR, SUITE A200
GREENVILLE, SC 29615
Greenville County (864) 454-5613
MRS. BENETTA M ALBAUGH ATC
Specialist/Technologist (Athletic Trainer)
200 PATEWOOD DR, SUITE B260
GREENVILLE, SC 29615
Greenville County (864) 454-8260
DR. LUIS F. MARTI-CALZAMILIA M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
200 PATEWOOD DR, SUITE A200
GREENVILLE, SC 29615
Greenville County (864) 454-5115
MICHAEL W. KELLY M.D.
Internal Medicine (Gastroenterology)
200 PATEWOOD DR, SUITE B200
GREENVILLE, SC 29615
Greenville County (864) 232-7338
GREGORY S. HOLT M.D.
Internal Medicine (Gastroenterology)
200 PATEWOOD DR, SUITE B200
GREENVILLE, SC 29615
Greenville County (864) 232-7338
MICHAEL L. CROWLEY M.D.
Internal Medicine (Gastroenterology)
200 PATEWOOD DR, SUITE B200
GREENVILLE, SC 29615
Greenville County (864) 232-7338
SUZY L. KIM M.D.
Internal Medicine (Gastroenterology)
200 PATEWOOD DR, SUITE B200
GREENVILLE, SC 29615
Greenville County (864) 232-7338

Frequently Asked Questions

What is PRISMA HEALTH UNIVERSITY MEDICAL GROUP's NPI number?

The NPI number assigned to this healthcare provider is 1013244714, enumerated as an "organization" on November 17, 2009.

Where is the provider located?

The provider is located at 200 PATEWOOD DR SUITE A200 GREENVILLE, SC 29615 and the phone number is (864) 454-5100.

What is the provider's specialty?

Pediatrics with taxonomy code 2080P0208X and a focus in Pediatric Infectious Diseases.

What insurance does PRISMA HEALTH UNIVERSITY MEDICAL GROUP accept?

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.