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PRISMA HEALTH FAMILY MEDICINE-POWDERSVILLE
NPI 1265112072
Clinic/Center - Multi-Specialty in Greenville, SC

Active since July 18, 2023CLIA 42D0911837 · Microscopy
15 ROE RD, GREENVILLE, SC 29611(864) 295-2308(864) 295-0396 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

About Prisma Health Family Medicine-powdersville NPPES

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

PRISMA HEALTH FAMILY MEDICINE-POWDERSVILLE (NPI 1265112072) is a healthcare organization registered as a multi-specialty in Greenville, South Carolina and active in the NPI registry since July 2023. The organization holds a CLIA Microscopy certificate valid through November 20, 2027 and lists Polly H. Miller, Svp Finance, Enterprise Contracting, as its authorized official.

NPPES Registry Identity

NPI1265112072
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePRISMA HEALTH-UPSTATE
Location Address15 ROE RDGreenville, SC 29611-7423
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8613
Phone(864) 295-2308
Fax(864) 295-0396
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 1265112072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
15 ROE RD, Greenville, SC 29611
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Other Names 1

Doing Business AsPrisma Health Family Medicine-powdersville

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 for Provider-Performed Microscopy Procedures (PPMP) 42D0911837

Prisma Health Family Medicine-Powdersville · Greenville, SC
Active · expires Nov 20, 2027
CLIA Number42D0911837
Laboratory TypePhysician Office
Certificate Effective DateNovember 21, 2025
Certificate Expiration DateNovember 20, 2027
Laboratory DirectorKelly Purcell
Laboratory Phone(864) 295-2308
Laboratory LocationPrisma Health Family Medicine-Powdersville15 Roe Road, Greenville, SC 29611
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 8

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

KELLY MARIE PURCELL D.O.
Family Medicine
15 ROE RD
GREENVILLE, SC 29611
Greenville County (864) 295-2308
MS. KATHRYN WILKIE PA-C
Physician Assistant
15 ROE RD
GREENVILLE, SC 29611
Greenville County (864) 295-2308
JEFFREY LEISTER
Nurse Practitioner
15 ROE RD
GREENVILLE, SC 29611
Greenville County (864) 295-2308
PHILIP STONECYPHER MD
Family Medicine (Sports Medicine)
15 ROE RD
GREENVILLE, SC 29611
Greenville County (864) 295-2308
MISS RACHEL PAULINE LANGENDORFER APRN, BC
Nurse Practitioner (Family)
15 ROE RD
GREENVILLE, SC 29611
Greenville County (864) 295-2308
PALMETTO HEALTH ALLIANCE EASLEY
Family Medicine
15 ROE RD
GREENVILLE, SC 29611
Greenville County (864) 295-2308
BRANDON JOSEPH CROUCH M.D.
Family Medicine
15 ROE RD
GREENVILLE, SC 29611
Greenville County (864) 295-2308
PRISMA HEALTH-UPSTATE
Clinic/Center (Rural Health)
15 ROE RD
GREENVILLE, SC 29611
Greenville County (864) 295-2308

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 1265112072. It was assigned to this organization in the NPPES registry on July 18, 2023. The provider is doing business as Prisma Health Family Medicine-Powdersville.

Where is Prisma Health-Upstate located?

Prisma Health-Upstate is located at 15 Roe Rd, Greenville, SC 29611. The listed phone number is (864) 295-2308.

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.

Does Prisma Health-Upstate hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D0911837) is associated with this NPI, valid through November 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.