PRISMA HEALTH UNIVERSITY MEDICAL GROUP
NPI 1053786483
Nurse Practitioner in Greenville, SC

Q: What is Prisma Health University Medical Group's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since December 10, 2015

712 GROVE RD, GREENVILLE, SC 29605(864) 455-9349(864) 522-1428 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2025, Apr 24, 2024, Aug 10, 2021 and 2 more (5 updates tracked since 2015).

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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 1053786483), doing business as University Medical Group/mobile Health Clinic, is a healthcare organization registered as a nurse practitioner in Greenville, South Carolina and active in the NPI registry since December 2015. The organization lists Kristi Ann Lawrence, Director Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1053786483

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NamePRISMA HEALTH UNIVERSITY MEDICAL GROUP

Location Address712 GROVE RDGreenville, SC 29605-4211

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 385-4790

Phone(864) 455-9349

Fax(864) 522-1428

Organization SubpartNo

Authorized OfficialKristi Ann LawrenceDirector Provider Enrollment · (864) 385-4790

Enumeration DateDecember 10, 2015

Last NPPES UpdateJune 24, 20255 updates tracked since enumeration

NPPES CertifiedJune 24, 2025

✔ NPI 1053786483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X

712 GROVE RD, Greenville, SC 29605

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Other Names 1

Doing Business AsUniversity Medical Group/mobile Health Clinic

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 BlueCross BlueShield of South Carolina, InStil Health.Insurance ›

Other Providers at the Same Location NPPES 9

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

GRACE UDOFA GAMBLE LIVINGSTON APRN

Nurse Practitioner (Family)