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

NPI Status: Active since May 22, 2020

Contact Information

807 N MAIN ST
TRAVELERS REST, SC
ZIP 29690
Phone: (864) 455-9261
Fax: (864) 455-9264

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  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance
  • CLIA Number: 42D2246820
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 12-29-2027

About PRISMA HEALTH PRIMARY CARE NORTH GREENVILLE

This page provides the complete NPI Profile along with additional information for Prisma Health Primary Care North Greenville, a primary care provider established in Travelers Rest, South Carolina operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1205459443 assigned on May 2020. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Prisma Health Primary Care North Greenville. The authorized official of this NPI record is Polly H. Miller (Svp Finance, Enterprise Contracting)

NPI
1205459443
Provider Legal Name
PRISMA HEALTH-UPSTATE
Other Organization Name
PRISMA HEALTH PRIMARY CARE NORTH GREENVILLE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
807 N MAIN ST TRAVELERS REST, SC 29690
Location Phone
(864) 455-9261
Location Fax
(864) 455-9264
Mailing Address
300 E MCBEE AVE FL 4 GREENVILLE, SC 29601
Mailing Phone
(864) 522-8613
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-22-2020
Last Update Date
05-01-2024
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A primary care provider (PCP) like Prisma Health Primary Care North Greenville sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Gold - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze with Atrium Health - HMO
  • Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Focused Silver with Atrium Health - HMO
  • Focused Silver with Atrium Health + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze with Atrium Health - HMO
  • 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

POLLY H. MILLER

Authorized Official Title
SVP FINANCE, ENTERPRISE CONTRACTING
Authorized Official Phone
(864) 522-2286

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
42D2246820
Facility Type
Rural Health Clinic
Certificate Effective Date
December 30, 2025
Certificate Expiration Date
December 29, 2027
Laboratory Director
JAMES B. GETTYS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Prisma Health Primary Care North Greenville to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PRISMA HEALTH PRIMARY CARE NORTH GREENVILLE

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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 1205459443, 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 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.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
4
Doubled → 8
Pos 6
5
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
Check
3
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 0 → 0 4 → 8 9 → 18 → 9 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 0 + 5 + 8 + 5 + 1 + 8 + 4 + 8 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1205459443.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Pharmacist
807 N MAIN ST
TRAVELERS REST, SC 29690
Pharmacist
807 N MAIN ST
TRAVELERS REST, SC 29690
Special Hospital
807 N MAIN ST
TRAVELERS REST, SC 29690
Long Term Care Hospital
807 N MAIN ST
TRAVELERS REST, SC 29690
Pharmacist
807 N MAIN ST
TRAVELERS REST, SC 29690
Long Term Care Hospital
807 N MAIN ST
TRAVELERS REST, SC 29690
Physician Assistant
807 N MAIN ST
TRAVELERS REST, SC 29690
Family Medicine
807 N MAIN ST
TRAVELERS REST, SC 29690
Clinic/Center (Multi-Specialty)
807 N MAIN ST
TRAVELERS REST, SC 29690
Nurse Practitioner (Pediatrics)
807 N MAIN ST
TRAVELERS REST, SC 29690
Nurse Practitioner (Family)
807 N MAIN ST
TRAVELERS REST, SC 29690
Family Medicine
807 N MAIN ST
TRAVELERS REST, SC 29690
Family Medicine
807 N MAIN ST
TRAVELERS REST, SC 29690
Physician Assistant (Medical)
807 N MAIN ST
TRAVELERS REST, SC 29690

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205459443, enumerated as an "organization" on May 22, 2020.

The provider is located at 807 N MAIN ST TRAVELERS REST, SC 29690 and the phone number is (864) 455-9261.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.