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PRISMA HEALTH PRIMARY CARE NORTH GREENVILLE
NPI 1205459443
Clinic/Center - Rural Health in Travelers Rest, SC

Active since May 22, 2020CLIA Certified · 3 labs
807 N MAIN ST, TRAVELERS REST, SC 29690(864) 455-9261(864) 455-9264 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 1, 2024, Oct 12, 2023, Jun 10, 2021 and 2 more (5 updates tracked since 2020).

About Prisma Health Primary Care North Greenville NPPES

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

PRISMA HEALTH PRIMARY CARE NORTH GREENVILLE (NPI 1205459443) is a healthcare organization registered as a rural health in Travelers Rest, South Carolina and active in the NPI registry since May 2020. The organization holds 3 active CLIA laboratory certificates and lists Polly H. Miller, Svp Finance, Enterprise Contracting, as its authorized official.

NPPES Registry Identity

NPI1205459443
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePRISMA HEALTH-UPSTATE
Location Address807 N MAIN STTravelers Rest, SC 29690-1551
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8613
Phone(864) 455-9261
Fax(864) 455-9264
Organization SubpartNo
Authorized OfficialPolly H. MillerSvp Finance, Enterprise Contracting · (864) 522-2286
Enumeration DateMay 22, 2020
Last NPPES UpdateMay 1, 20245 updates tracked since enumeration
NPPES CertifiedMay 1, 2024
✔ NPI 1205459443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
807 N MAIN ST, Travelers Rest, SC 29690
Open in Google Maps ↗

Other Names 1

Doing Business AsPrisma Health Primary Care North Greenville

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 ›

CLIA Laboratory Certificates CMS CLIA 3

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 42D0966970

Prisma Health - Upstate Dba Prisma Health North Greenville Ltach Poc Lab · Travelers Rest, SC
Active · expires Oct 28, 2027
CLIA Number42D0966970
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateOctober 29, 2025
Certificate Expiration DateOctober 28, 2027
Laboratory DirectorDr. Samuel Horton
Laboratory Phone(864) 455-9232
Laboratory LocationPrisma Health - Upstate Dba Prisma Health North Greenville Ltach Poc Lab807 North Main Street, Travelers Rest, SC 29690
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 42D0253285

Prisma Health- Upstate Dba Prisma Health North Greenville Ltach Laboratory · Travelers Rest, SC
Active · expires Feb 8, 2027
CLIA Number42D0253285
Laboratory TypeHospital
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorDr. Joyce Ren
Laboratory Phone(864) 455-9232
Laboratory LocationPrisma Health- Upstate Dba Prisma Health North Greenville Ltach Laboratory807 N Main St, Travelers Rest, SC 29690
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 42D2246820

Prisma Health Primary Care- North Greenville · Travelers Rest, SC
Active · expires Dec 29, 2027
CLIA Number42D2246820
Laboratory TypeRural Health Clinic
Certificate Effective DateDecember 30, 2025
Certificate Expiration DateDecember 29, 2027
Laboratory DirectorJames B. Gettys
Laboratory Phone(864) 455-9261
Laboratory LocationPrisma Health Primary Care- North Greenville815 N Main Street, Travelers Rest, SC 29690
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

GINA RENEE PAPONETTI FNP
Nurse Practitioner (Family)
807 N MAIN ST
TRAVELERS REST, SC 29690
Greenville County (864) 455-9150
ALI LAUREN WHITTEN PA-C
Physician Assistant
807 N MAIN ST
TRAVELERS REST, SC 29690
Greenville County (864) 455-9150
DR. GWENDOLYN ROSE SMITH DO
Family Medicine
807 N MAIN ST
TRAVELERS REST, SC 29690
Greenville County (864) 455-9790
PRISMA HEALTH-UPSTATE DBA PH NORTH GREENVILLE ER
Emergency Medicine
807 N MAIN ST
TRAVELERS REST, SC 29690
Greenville County (864) 833-5132
DINAH JANKOVIC PHARMD.
Pharmacist
807 N MAIN ST
TRAVELERS REST, SC 29690
Greenville County (864) 455-9280
MRS. LAURA H. TURMAN RPH.
Pharmacist
807 N MAIN ST
TRAVELERS REST, SC 29690
Greenville County (864) 455-9280
GREENVILLE HEALTH SYSTEM
Special Hospital
807 N MAIN ST
TRAVELERS REST, SC 29690
Greenville County (864) 834-5132
PRISMA HEALTH-UPSTATE
Long Term Care Hospital
807 N MAIN ST
TRAVELERS REST, SC 29690
Greenville County (864) 834-5132

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 1205459443. It was assigned to this organization in the NPPES registry on May 22, 2020. The provider is doing business as Prisma Health Primary Care North Greenville.

Where is Prisma Health-Upstate located?

Prisma Health-Upstate is located at 807 N Main St, Travelers Rest, SC 29690. The listed phone number is (864) 455-9261.

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.

Does Prisma Health-Upstate hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.