PRISMA HEALTH PRIMARY CARE FOUNTAIN INN
NPI 1205414828
Clinic/Center - Rural Health in Fountain Inn, SC

Q: What is Prisma Health-Upstate's NPI number?

The NPI number for Prisma Health-Upstate is 1205414828. It was assigned to this organization in the NPPES registry on April 2, 2021. The provider is doing business as Prisma Health Primary Care Fountain Inn.

Q: 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.

Active since April 02, 2021

200 N. NELSON DRIVE, FOUNTAIN INN, SC 29644(864) 522-6270(864) 522-6275 Get Directions Write a Review

NPPES record last updated: April 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 22, 2022, Apr 2, 2021 (2 updates tracked since 2021).

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About Prisma Health Primary Care Fountain Inn NPPES

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

PRISMA HEALTH PRIMARY CARE FOUNTAIN INN (NPI 1205414828) is a healthcare organization registered as a rural health in Fountain Inn, South Carolina and active in the NPI registry since April 2021. The organization lists Polly H. Miller, Vp, Payor Strategies & Alignment, as its authorized official.

NPPES Registry Identity

NPI1205414828

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NamePRISMA HEALTH-UPSTATE

Location Address200 N. NELSON DRIVEFountain Inn, SC 29644

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603

Phone(864) 522-6270

Fax(864) 522-6275

Organization SubpartNo

Authorized OfficialPolly H. MillerVp, Payor Strategies & Alignment · (864) 522-2286

Enumeration DateApril 2, 2021

Last NPPES UpdateApril 22, 20222 updates tracked since enumeration

NPPES CertifiedApril 22, 2022

✔ NPI 1205414828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

200 N. NELSON DRIVE, Fountain Inn, SC 29644

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Other Names 1

Doing Business AsPrisma Health Primary Care Fountain Inn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

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 1205414828. It was assigned to this organization in the NPPES registry on April 2, 2021. The provider is doing business as Prisma Health Primary Care Fountain Inn.

Where is Prisma Health-Upstate located?

Prisma Health-Upstate is located at 200 N. Nelson Drive, Fountain Inn, SC 29644. The listed phone number is (864) 522-6270.

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.

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 April 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.