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PRISMA HEALTH PEDIATRICS-SENECA
NPI 1215617097
Clinic/Center - Multi-Specialty in Seneca, SC

Active since July 18, 2023
109 OMNI DR STE B, SENECA, SC 29672(864) 888-4222(864) 888-0023 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 12, 2023, Jul 18, 2023 (2 updates tracked since 2023).

About Prisma Health Pediatrics-seneca NPPES

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

PRISMA HEALTH PEDIATRICS-SENECA (NPI 1215617097) is a healthcare organization registered as a multi-specialty in Seneca, South Carolina and active in the NPI registry since July 2023. The organization lists Polly H Miller, Svp Finance, Enterprise Contracting, as its authorized official.

NPPES Registry Identity

NPI1215617097
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePRISMA HEALTH-UPSTATE
Location Address109 OMNI DR STE BSeneca, SC 29672-9448
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842
Phone(864) 888-4222
Fax(864) 888-0023
Organization SubpartNo
Authorized OfficialPolly H MillerSvp Finance, Enterprise Contracting · (864) 522-2286
Enumeration DateJuly 18, 2023
Last NPPES UpdateOctober 12, 20232 updates tracked since enumeration
NPPES CertifiedOctober 12, 2023
✔ NPI 1215617097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
109 OMNI DR STE B, Seneca, SC 29672
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Other Names 1

Doing Business AsPrisma Health Pediatrics-seneca

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 42D0945619

Prisma Health Pediatrics- Seneca · Seneca, SC
Expired · Jul 24, 2026
CLIA Number42D0945619
Laboratory TypePhysician Office
Certificate Effective DateJuly 25, 2024
Certificate Expiration DateJuly 24, 2026
Laboratory DirectorLorraine A. Bruce
Laboratory Phone(864) 888-4222
Laboratory LocationPrisma Health Pediatrics- Seneca109 Omni Drive, Suite B, Seneca, SC 29672
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

HALEY BROOKE CANNADY N.P.
Nurse Practitioner (Pediatrics)
109 OMNI DR STE B
SENECA, SC 29672
Oconee County (864) 888-4222
LORRAINE ANN BRUCE MD
Pediatrics
109 OMNI DR STE B
SENECA, SC 29672
Oconee County (864) 888-4222
ATIENO ALICE R. RAGWAR M.D.
Pediatrics
109 OMNI DR STE B
SENECA, SC 29672
Oconee County (864) 888-4222
DR. MONICA ELIZABETH SILVA M.D.
Pediatrics
109 OMNI DR STE B
SENECA, SC 29672
Oconee County (864) 888-4222

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 1215617097. It was assigned to this organization in the NPPES registry on July 18, 2023. The provider is doing business as Prisma Health Pediatrics-Seneca.

Where is Prisma Health-Upstate located?

Prisma Health-Upstate is located at 109 Omni Dr Ste B, Seneca, SC 29672. The listed phone number is (864) 888-4222.

What is Prisma Health-Upstate's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Prisma Health-Upstate was last updated on October 12, 2023. 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.