PRISMA HEALTH UNIVERSITY MEDICAL GROUP
NPI 1053786483
Nurse Practitioner in Greenville, SC
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
Specialties & Licenses 4
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Prisma Health University Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3,277Medicare enrollment records show 3,277 clinicians reassign Medicare billing to Prisma Health University Medical Group, which bills Medicare for the services they deliver. Of these, 23 practice at this address and 2,212 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 69
Nearest to this location (20)
See all 3,277Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 University Medical Group's NPI number?
The NPI number for Prisma Health University Medical Group is 1053786483. It was assigned to this organization in the NPPES registry on December 10, 2015. The provider is doing business as University Medical Group/Mobile Health Clinic.
Where is Prisma Health University Medical Group located?
Prisma Health University Medical Group is located at 712 Grove Rd, Greenville, SC 29605. The listed phone number is (864) 455-9349.
What is Prisma Health University Medical Group's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Prisma Health University Medical Group enrolled in Medicare?
Yes. Prisma Health University Medical Group is registered in the Medicare PECOS enrollment system.
When is Prisma Health University Medical Group's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (South Carolina, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Prisma Health University Medical Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 3,277 clinicians in 69 Medicare specialties reassign their Medicare billing to Prisma Health University Medical Group. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (618), Certified Registered Nurse Anesthetist (CRNA) (509) and Emergency Medicine (218). Of these, 23 practice at this address and 2,212 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Prisma Health University Medical Group accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and InStil Health list Prisma Health University Medical Group 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 University Medical Group was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Prisma Health University Medical Group · NPI 1053786483
Nurse Practitioner organization in Greenville, South Carolina. Organization record, active in the CMS NPPES registry since December 10, 2015.
## Identity
- **NPI:** 1053786483 (Entity type: Organization)
- **Enumerated:** December 10, 2015
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Also known as:** University Medical Group/Mobile Health Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kristi Lawrence, DIRECTOR PROVIDER ENROLLMENT
## Practice location
- **Address:** 712 GROVE RD, Greenville, SC 29605-4211
- **Phone:** (864) 455-9349 · **Fax:** (864) 522-1428
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, South Carolina, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3,277 clinicians in 69 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (618), Certified Registered Nurse Anesthetist (CRNA) (509), Emergency Medicine (218); 23 practice at this address and 2,212 within 10 miles; [full list](https://npiprofile.com/npi/1053786483/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053786483) · Data from the CMS NPPES public registry.