PRISMA HEALTH ADVANCED FAMILY MEDICINE
NPI 1235819046
Clinic/Center - Multi-Specialty in Clinton, SC

Active since July 18, 2023
210 S BROAD ST, CLINTON, SC 29325(864) 833-0973(864) 241-9290 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2023, Jul 18, 2023 (2 updates tracked since 2023).

About Prisma Health Advanced Family Medicine NPPES

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

PRISMA HEALTH ADVANCED FAMILY MEDICINE (NPI 1235819046) is a healthcare organization registered as a multi-specialty in Clinton, 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

NPI1235819046
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePRISMA HEALTH-UPSTATE
Location Address210 S BROAD STClinton, SC 29325-2505
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8613
Fax(864) 241-9290
Organization SubpartNo
Authorized OfficialPolly H. MillerSvp Finance, Enterprise Contracting · (864) 522-2286
Enumeration DateJuly 18, 2023
Last NPPES UpdateOctober 11, 20232 updates tracked since enumeration
NPPES CertifiedOctober 11, 2023
NPI 1235819046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
210 S BROAD ST, Clinton, SC 29325

Other Names 1

Doing Business AsPrisma Health Advanced Family Medicine

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Family)
210 S BROAD ST
CLINTON, SC 29325
Family Medicine
210 S BROAD ST
CLINTON, SC 29325
Clinic/Center (Rural Health)
210 S BROAD ST
CLINTON, SC 29325
Family Medicine
210 S BROAD ST
CLINTON, SC 29325
Physician Assistant (Medical)
210 S BROAD ST
CLINTON, SC 29325
Physician Assistant
210 S BROAD ST
CLINTON, SC 29325
Nurse Practitioner (Family)
210 S BROAD ST
CLINTON, SC 29325

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 1235819046. It was assigned to this organization in the NPPES registry on July 18, 2023. The provider is doing business as Prisma Health Advanced Family Medicine.

Where is Prisma Health-Upstate located?

Prisma Health-Upstate is located at 210 S Broad St, Clinton, SC 29325. The listed phone number is (864) 833-0973.

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 11, 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.