PRISMA HEALTH UNIVERSITY MEDICAL GROUP
NPI 1053786483
Nurse Practitioner in Greenville, SC
NPI Status: Active since December 10, 2015
Contact Information
712 GROVE RD
GREENVILLE, SC
ZIP 29605
Phone: (864) 455-9349
Fax: (864) 522-1428
- Organization
- Nurse Practitioner
- Accepts Insurance
About PRISMA HEALTH UNIVERSITY MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Prisma Health University Medical Group, a provider established in Greenville, South Carolina operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1053786483 assigned on December 2015. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Prisma Health University Medical Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's
- NPI
- 1053786483
- Provider Legal Name
- PRISMA HEALTH UNIVERSITY MEDICAL GROUP
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 712 GROVE RD GREENVILLE, SC 29605
- Location Phone
- (864) 455-9349
- Location Fax
- (864) 522-1428
- Mailing Address
- 300 E MCBEE AVE FL 4 GREENVILLE, SC 29601
- Mailing Phone
- (864) 385-4790
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-10-2015
- Last Update Date
- 06-24-2025
- Code Navigator
A nurse practitioner (NP) like Prisma Health University Medical Group is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- (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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LA2200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 2 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 3 | 363LG0600X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Direction Bronze 1 - POS
- Blue Direction Silver 1 - POS
- Blue Direction Silver 1 + Adult Vision - POS
- Blue Direction Silver 2 - POS
- Blue Direction Standard Expanded Bronze - POS
- Blue Direction Standard Gold - POS
- Blue Direction Standard Silver - POS
- Blue Reedy Bronze 1 - HMO
- Blue Reedy Bronze 2 - HMO
- Blue Reedy Gold 1 - HMO
- Blue Reedy Silver 1 - HMO
- Blue Reedy Silver 2 - HMO
- Blue Reedy Silver 2 + Adult Vision - HMO
- Blue Reedy Standard Expanded Bronze - HMO
- Blue Reedy Standard Gold - HMO
- Blue Reedy Standard Silver - HMO
- Blue VirtuConnect Bronze 1 - EPO
- Blue VirtuConnect Gold 1 - EPO
- Blue VirtuConnect Silver 1 - EPO
- BlueEssentials Bronze 4 - EPO
- InHealth Basic 1 - HMO
- InHealth Basic 1 + Adult Vision - HMO
- InHealth Basic 2 - HMO
- InHealth Basic Plus Standard - HMO
- InHealth Basic Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1053786483, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
GREENVILLE, SC 29605
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053786483, enumerated as an "organization" on December 10, 2015.
The provider is located at 712 GROVE RD GREENVILLE, SC 29605 and the phone number is (864) 455-9349.
Nurse Practitioner with taxonomy code 363L00000X.
The provider might be accepting Accepts: BlueCross BlueShield of South Carolina and InStil. Please consult your insurance carrier or call the provider to verify.
