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EXPRESSCARE PEDIATRICS, PC
NPI 1033340716
Clinic/Center - Health Service in Greenville, SC

Active since July 29, 2009CLIA 42D1103647 · Waiver
274 COMMONWEALTH DR, SUITE C, GREENVILLE, SC 29615(864) 551-2422(864) 551-2424 Get Directions Write a Review

NPPES record last updated: September 10, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Expresscare Pediatrics, Pc NPPES

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

EXPRESSCARE PEDIATRICS, PC (NPI 1033340716) is a healthcare organization registered as a health service in Greenville, South Carolina and active in the NPI registry since July 2009. The organization holds a CLIA Waiver certificate valid through August 13, 2027 and lists Tonya Knox-frazier, Owner, as its authorized official.

NPPES Registry Identity

NPI1033340716
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameEXPRESSCARE PEDIATRICS, PC
Location Address274 COMMONWEALTH DR, SUITE CGreenville, SC 29615-4869
Mailing Address2153 E Main St, Ste C14-321Duncan, SC 29334-8724 · (864) 551-2422 · Fax (864) 551-2424
Phone(864) 551-2422
Fax(864) 551-2424
Organization SubpartNo
Authorized OfficialTonya Knox-frazierOwner · (864) 551-2422
Enumeration DateJuly 29, 2009
Last NPPES UpdateSeptember 10, 2013
✔ NPI 1033340716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
274 COMMONWEALTH DR, Greenville, SC 29615
Open in Google Maps ↗

Other Identifiers 2

Medicaid274517SC
Medicare UPING30930SC

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D1103647

Express Pediatric Care, PA · Greenville, SC
Active · expires Aug 13, 2027
CLIA Number42D1103647
Laboratory TypePhysician Office
Certificate Effective DateAugust 14, 2025
Certificate Expiration DateAugust 13, 2027
Laboratory DirectorDr. Dawn Polly
Laboratory Phone(864) 551-2422
Laboratory LocationExpress Pediatric Care, PA10 Enterprise Blvd, Suite 105 Eastside Medical Center, Greenville, SC 29615
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

MR. DAVID DEVON WILT FNP
Nurse Practitioner
274 COMMONWEALTH DR
GREENVILLE, SC 29615
Greenville County (864) 286-8222
TRIBE513, PA
Obstetrics & Gynecology
274 COMMONWEALTH DR, SUITE A
GREENVILLE, SC 29615
Greenville County (864) 720-1299
JOHN FRANCIS PILCH M.D.
Psychiatry & Neurology (Neurology)
274 COMMONWEALTH DR
GREENVILLE, SC 29615
Greenville County (864) 286-8222
DR. DAWN POLLY M.D.
Pediatrics
274 COMMONWEALTH DR, SUITE C
GREENVILLE, SC 29615
Greenville County (864) 551-2422
EXPRESS PEDIATRIC CARE, P.A.
Pediatrics
274 COMMONWEALTH DR, SUITE C
GREENVILLE, SC 29615
Greenville County (864) 551-2422
MRS. EVANS NESTERTSOV APRN, FNP-C
Nurse Practitioner (Family)
274 COMMONWEALTH DR
GREENVILLE, SC 29615
Greenville County (864) 478-8580
MERCY OB GYN
Obstetrics & Gynecology
274 COMMONWEALTH DR, SUITE B
GREENVILLE, SC 29615
Greenville County (864) 288-3100

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 Expresscare Pediatrics, PC's NPI number?

The NPI number for Expresscare Pediatrics, PC is 1033340716. It was assigned to this organization in the NPPES registry on July 29, 2009.

Where is Expresscare Pediatrics, PC located?

Expresscare Pediatrics, PC is located at 274 Commonwealth Dr Suite C, Greenville, SC 29615. The listed phone number is (864) 551-2422.

What is Expresscare Pediatrics, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Expresscare Pediatrics, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D1103647) is associated with this NPI, valid through August 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Expresscare Pediatrics, PC was last updated on September 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.