PRISMA HEALTH OP SURGERY PATEWOOD
NPI 1144775032
General Acute Care Hospital in Greenville, SC

Active since August 20, 2016
200 PATEWOOD DR, BUILDING A, GREENVILLE, SC 29615(864) 454-2604 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 30, 2023, Feb 4, 2021, Apr 13, 2020 and 3 more (6 updates tracked since 2016).

About Prisma Health Op Surgery Patewood NPPES

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

PRISMA HEALTH OP SURGERY PATEWOOD (NPI 1144775032) is a healthcare organization registered as a general acute care hospital in Greenville, South Carolina and active in the NPI registry since August 2016. The organization lists Polly H. Miller, Svp Finance, Enterprise Contracting, as its authorized official.

NPPES Registry Identity

NPI1144775032
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NamePRISMA HEALTH-UPSTATE
Location Address200 PATEWOOD DR, BUILDING AGreenville, SC 29615-3593
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 455-7000
Organization SubpartNo
Authorized OfficialPolly H. MillerSvp Finance, Enterprise Contracting · (864) 522-2286
Enumeration DateAugust 20, 2016
Last NPPES UpdateJanuary 30, 20236 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2023
✔ NPI 1144775032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in SC · ASF-0133
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
200 PATEWOOD DR, Greenville, SC 29615

Other Names 1

Doing Business AsPrisma Health Op Surgery Patewood

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prisma Health Op Surgery Patewood is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

412

Medicare enrollment records show 412 clinicians reassign Medicare billing to Prisma Health Op Surgery Patewood, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 298 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Certified Registered Nurse Anesthetist (CRNA)267
Emergency Medicine99
Nurse Practitioner20
Anesthesiology Assistant9
Pediatric Medicine5
Family Practice3
Clinical Psychologist2
Sports Medicine2
5 other specialties5

Nearest to this location (20)

See all 412
Plastic and Reconstructive Surgery
NPI 1972761575
200 PATEWOOD DR SUITE B480
Greenville, SC 29615
(864) 454-4570
✔ PECOS✔ Accepts MedicareSame address
Geriatric Medicine
NPI 1013339290
255 ENTERPRISE BLVD STE 101
Greenville, SC 29615
(864) 454-8120
✔ PECOS✔ Accepts Medicare0.2 mi
Rheumatology
NPI 1114104999
50 INTERNATIONAL DR STE 325
Greenville, SC 29615
(864) 235-8396
✔ PECOS✔ Accepts Medicare0.4 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1326141128
67 CREEKSIDE PARK CT
Greenville, SC 29615
(864) 522-3700
✔ Accepts Medicare0.8 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1326502030
7 INDEPENDENCE PT STE 300
Greenville, SC 29615
(864) 522-3700
✔ Accepts Medicare1.5 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1851441281
7 INDEPENDENCE PT STE 300
Greenville, SC 29615
(864) 522-3700
✔ PECOS✔ Accepts Medicare1.5 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1093092884
7 INDEPENDENCE PT STE 300
Greenville, SC 29615
(864) 522-3700
✔ Accepts Medicare1.5 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1407479553
7 INDEPENDENCE PT STE 300
Greenville, SC 29615
(864) 522-3700
✔ Accepts Medicare1.5 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1639576614
7 INDEPENDENCE PT STE 300
Greenville, SC 29615
(864) 522-3700
✔ Accepts Medicare1.5 mi
Anesthesiology Assistant
NPI 1356870919
7 INDEPENDENCE PT STE 300
Greenville, SC 29615
(864) 522-3700
✔ Accepts Medicare1.5 mi
Family Practice
NPI 1023041118
1025 VERDAE BLVD SUITE B
Greenville, SC 29607
(864) 286-7550
✔ PECOS✔ Accepts Medicare1.5 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1942696778
7 INDEPENDENCE PT STE 300
Greenville, SC 29615
(864) 522-3700
✔ Accepts Medicare1.6 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1669821872
7 INDEPENDENCE PT STE 300
Greenville, SC 29615
(864) 522-3700
✔ Accepts Medicare1.6 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1326484197
7 INDEPENDENCE PT STE 300
Greenville, SC 29615
(864) 511-3700
✔ Accepts Medicare1.6 mi
Emergency Medicine
NPI 1366541435
905 VERDAE BLVD STE 101
Greenville, SC 29607
(864) 286-7550
✔ PECOS✔ Accepts Medicare1.7 mi
Anesthesiology Assistant
NPI 1073079182
7 INDEPENDENCE PT STE 300
Greenville, SC 29615
(864) 522-3700
✔ Accepts Medicare1.7 mi
Anesthesiology Assistant
NPI 1043865272
7 INDEPENDENCE PT STE 300
Greenville, SC 29615
(864) 522-3700
✔ Accepts Medicare1.7 mi
Anesthesiology Assistant
NPI 1376885970
7 INDEPENDENCE PT STE 300
Greenville, SC 29615
(864) 522-3700
✔ Accepts Medicare1.7 mi
Nurse Practitioner
NPI 1457800815
525 VERDAE BLVD STE 200
Greenville, SC 29607
(864) 272-0388
✔ PECOS✔ Accepts Medicare2.2 mi
Clinical Psychologist
NPI 1003968116
651 S MAIN ST
Greenville, SC 29601
(864) 241-2600
✔ PECOS✔ Accepts Medicare4.6 mi
See all 412 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 42D0979087

Prisma Health Pediatrics-Patewood · Greenville, SC
Expired · Oct 11, 2026
CLIA Number42D0979087
Laboratory TypePhysician Office
Certificate Effective DateOctober 12, 2024
Certificate Expiration DateOctober 11, 2026
Laboratory DirectorSeungjai Song
Laboratory Phone(864) 454-2670
Laboratory LocationPrisma Health Pediatrics-Patewood200 Patewood Dr, Suite A120, Greenville, SC 29615
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 1144775032. It was assigned to this organization in the NPPES registry on August 20, 2016. The provider is doing business as Prisma Health Op Surgery Patewood.

Where is Prisma Health-Upstate located?

Prisma Health-Upstate is located at 200 Patewood Dr Building A, Greenville, SC 29615. The listed phone number is (864) 454-2604.

What is Prisma Health-Upstate's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Prisma Health-Upstate enrolled in Medicare?

Yes. Prisma Health-Upstate is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prisma Health-Upstate?

According to the CMS Revalidation Reassignment List (October 2026 release), 412 clinicians in 13 Medicare specialties reassign their Medicare billing to Prisma Health-Upstate. 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 Certified Registered Nurse Anesthetist (CRNA) (267), Emergency Medicine (99) and Nurse Practitioner (20). Of these, 1 practice at this address and 298 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Prisma Health-Upstate was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.