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PRISMA HEALTH PEDIATRICS-POWDERSVILLE
NPI 1376223180
Clinic/Center - Multi-Specialty in Greenville, SC

Active since July 18, 2023CLIA 42D1105535 · Waiver
207 THREE BRIDGES RD, GREENVILLE, SC 29611(864) 220-1110(864) 220-1104 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2023, Jul 18, 2023 (2 updates tracked since 2023).

About Prisma Health Pediatrics-powdersville NPPES

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

PRISMA HEALTH PEDIATRICS-POWDERSVILLE (NPI 1376223180) 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 Waiver certificate valid through September 16, 2026 and lists Polly H. Miller, Svp Finance, Enterprise Contracting, as its authorized official.

NPPES Registry Identity

NPI1376223180
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePRISMA HEALTH-UPSTATE
Location Address207 THREE BRIDGES RDGreenville, SC 29611-7549
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8613
Phone(864) 220-1110
Fax(864) 220-1104
Organization SubpartNo
Authorized OfficialPolly H. MillerSvp Finance, Enterprise Contracting · (864) 522-2286
Enumeration DateJuly 18, 2023
Last NPPES UpdateOctober 10, 20232 updates tracked since enumeration
NPPES CertifiedOctober 10, 2023
✔ NPI 1376223180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Doing Business AsPrisma Health Pediatrics-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 of Waiver 42D1105535

Prisma Health Pediatrics Powdersville · Greenville, SC
Active · expires Sep 16, 2026
CLIA Number42D1105535
Laboratory TypePhysician Office
Certificate Effective DateSeptember 17, 2024
Certificate Expiration DateSeptember 16, 2026
Laboratory DirectorDr. Ashley T. Flesher
Laboratory Phone(864) 220-1110
Laboratory LocationPrisma Health Pediatrics Powdersville207 Three Bridges Rd, Greenville, SC 29611
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 5

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

DR. WILLIAM RANDOLPH WILSON M.D.
Pediatrics
207 THREE BRIDGES RD
GREENVILLE, SC 29611
Greenville County (864) 220-1110
MARY LYN BARNETTE
Physician Assistant
207 THREE BRIDGES RD
GREENVILLE, SC 29611
Greenville County (864) 220-1110
ASHLEY TORRENCE FLESHER M.D.
Pediatrics
207 THREE BRIDGES RD
GREENVILLE, SC 29611
Greenville County (864) 269-5567
ALLYSON PATRICIA COX DO
Pediatrics
207 THREE BRIDGES RD
GREENVILLE, SC 29611
Greenville County (864) 220-1110
PRISMA HEALTH-UPSTATE
Clinic/Center (Rural Health)
207 THREE BRIDGES RD
GREENVILLE, SC 29611
Greenville County (864) 220-1110

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 1376223180. It was assigned to this organization in the NPPES registry on July 18, 2023. The provider is doing business as Prisma Health Pediatrics-Powdersville.

Where is Prisma Health-Upstate located?

Prisma Health-Upstate is located at 207 Three Bridges Rd, Greenville, SC 29611. The listed phone number is (864) 220-1110.

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 of Waiver (number 42D1105535) is associated with this NPI, valid through September 16, 2026. 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 10, 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.