1. Home
  2. Directory
  3. South Carolina
  4. Anderson
  5. Clinic Center
  6. NPI Profile

PRISMA HEALTH-UPSTATE
NPI 1336039460
Clinic/Center - Rural Health in Anderson, SC

Active since July 09, 2025
8 JUSTICE LN, ANDERSON, SC 29621(864) 760-6130(864) 760-6125 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prisma Health-upstate NPPES

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

PRISMA HEALTH-UPSTATE (NPI 1336039460), doing business as Prisma Health Primary Care Northlake, is a healthcare organization registered as a rural health in Anderson, South Carolina and active in the NPI registry since July 2025. The organization lists Polly Miller, Vp-fin Enterprise Payor Contracting, as its authorized official.

NPPES Registry Identity

NPI1336039460
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePRISMA HEALTH-UPSTATE
Location Address8 JUSTICE LNAnderson, SC 29621-2354
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842
Phone(864) 760-6130
Fax(864) 760-6125
Organization SubpartNo
Authorized OfficialPolly MillerVp-fin Enterprise Payor Contracting · (864) 522-2286
Enumeration DateJuly 9, 2025
NPPES CertifiedJuly 9, 2025
✔ NPI 1336039460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
8 JUSTICE LN, Anderson, SC 29621
Open in Google Maps ↗

Other Names 1

Doing Business AsPrisma Health Primary Care Northlake

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.

JASON ANDREW CHAMP PA
Physician Assistant
8 JUSTICE LN
ANDERSON, SC 29621
Anderson County (864) 260-9910
LESLIE K WILLCOX PA C
Physician Assistant
8 JUSTICE LN
ANDERSON, SC 29621
Anderson County (864) 260-9910
MEGAN DEWITT CARSON PA
Physician Assistant
8 JUSTICE LN
ANDERSON, SC 29621
Anderson County (864) 760-6130
STEPHANIE LYNN SENGER PA-C
Physician Assistant
8 JUSTICE LN
ANDERSON, SC 29621
Anderson County (864) 260-9910
SARAH MARIE CALAWAY PA-C
Physician Assistant
8 JUSTICE LN
ANDERSON, SC 29621
Anderson County (864) 260-9910
SELENICA NIVON BRUCE PA-C
Physician Assistant
8 JUSTICE LN
ANDERSON, SC 29621
Anderson County (864) 260-9910
JENNIFER LEA FLETCHER DO
Internal Medicine
8 JUSTICE LN
ANDERSON, SC 29621
Anderson County (864) 760-6130

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 1336039460. It was assigned to this organization in the NPPES registry on July 9, 2025. The provider is doing business as Prisma Health Primary Care Northlake.

Where is Prisma Health-Upstate located?

Prisma Health-Upstate is located at 8 Justice Ln, Anderson, SC 29621. The listed phone number is (864) 760-6130.

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.

When was this NPI record last updated?

The NPPES record for Prisma Health-Upstate was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.