PRISMA HEALTH FAMILY MEDICINE-WALHALLA
NPI 1043857998
Clinic/Center - Rural Health in Walhalla, SC

Active since December 10, 2019CLIA 42D2133976 · Accreditation
103 WHITETAIL DR, WALHALLA, SC 29691(864) 638-3444(864) 638-3445 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2021, Apr 13, 2020, Dec 10, 2019 (3 updates tracked since 2019).

About Prisma Health Family Medicine-walhalla NPPES

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

PRISMA HEALTH FAMILY MEDICINE-WALHALLA (NPI 1043857998) is a healthcare organization registered as a rural health in Walhalla, South Carolina and active in the NPI registry since December 2019. The organization holds an CLIA Accreditation certificate valid through September 11, 2026 and lists Polly H. Miller, Vp Payor Strategies & Alignment, as its authorized official.

NPPES Registry Identity

NPI1043857998
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePRISMA HEALTH-UPSTATE
Location Address103 WHITETAIL DRWalhalla, SC 29691-5837
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 455-7000
Fax(864) 638-3445
Organization SubpartNo
Authorized OfficialPolly H. MillerVp Payor Strategies & Alignment · (864) 522-2286
Enumeration DateDecember 10, 2019
Last NPPES UpdateFebruary 3, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2021
NPI 1043857998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
103 WHITETAIL DR, Walhalla, SC 29691

Other Names 1

Doing Business AsPrisma Health Family Medicine-walhalla

Accepted Insurance

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 Accreditation 42D2133976

Prisma Health Family Medicine - Walhalla · Walhalla, SC
Active · expires Sep 11, 2026
CLIA Number42D2133976
Laboratory TypePhysician Office
Certificate Effective DateSeptember 12, 2024
Certificate Expiration DateSeptember 11, 2026
Laboratory DirectorDr. Cameron Swofford Price
Laboratory Phone(864) 638-3444
Laboratory LocationPrisma Health Family Medicine - Walhalla103 Whitetail Drive, Walhalla, SC 29691
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 8

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

Family Medicine
103 WHITETAIL DR
WALHALLA, SC 29691
Family Medicine
103 WHITETAIL DR
WALHALLA, SC 29691
Nurse Practitioner (Family)
103 WHITETAIL DR
WALHALLA, SC 29691
Nurse Practitioner
103 WHITETAIL DR
WALHALLA, SC 29691
Clinic/Center (Multi-Specialty)
103 WHITETAIL DR
WALHALLA, SC 29691
Family Medicine
103 WHITETAIL DR
WALHALLA, SC 29691
Nurse Practitioner (Gerontology)
103 WHITETAIL DR
WALHALLA, SC 29691
Nurse Practitioner (Family)
103 WHITETAIL DR
WALHALLA, SC 29691

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-Upstate's NPI number?

The NPI number for Prisma Health-Upstate is 1043857998. It was assigned to this organization in the NPPES registry on December 10, 2019. The provider is doing business as Prisma Health Family Medicine-Walhalla.

Where is Prisma Health-Upstate located?

Prisma Health-Upstate is located at 103 Whitetail Dr, Walhalla, SC 29691. The listed phone number is (864) 638-3444.

What is Prisma Health-Upstate's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Prisma Health-Upstate hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 42D2133976) is associated with this NPI, valid through September 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Prisma Health-Upstate accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and InStil Health list Prisma Health-Upstate 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-Upstate was last updated on February 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.