PRISMA HEALTH OB/GYN CLINIC
NPI 1407301211
General Acute Care Hospital in Greenville, SC

Active since August 22, 2016
1120 GROVE RD, GREENVILLE, SC 29605(864) 455-6444 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 4, 2021, Apr 13, 2020, May 16, 2019 and 2 more (5 updates tracked since 2016).

About Prisma Health Ob/gyn Clinic NPPES

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

PRISMA HEALTH OB/GYN CLINIC (NPI 1407301211) is a healthcare organization registered as a general acute care hospital in Greenville, South Carolina and active in the NPI registry since August 2016. The organization lists Polly H. Miller, Vp Payor Strategies & Alignment, as its authorized official.

NPPES Registry Identity

NPI1407301211
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NamePRISMA HEALTH-UPSTATE
Location Address1120 GROVE RDGreenville, SC 29605-4656
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 455-7000
Organization SubpartNo
Authorized OfficialPolly H. MillerVp Payor Strategies & Alignment · (864) 522-2286
Enumeration DateAugust 22, 2016
Last NPPES UpdateFebruary 4, 20215 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2021
✔ NPI 1407301211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in SC · HTL-0936
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
1120 GROVE RD, Greenville, SC 29605

Other Names 1

Doing Business AsPrisma Health Ob/gyn Clinic

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prisma Health Ob/gyn Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

412

Medicare enrollment records show 412 clinicians reassign Medicare billing to Prisma Health Ob/Gyn Clinic, which bills Medicare for the services they deliver. Of these, 304 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Certified Registered Nurse Anesthetist (CRNA)267
Emergency Medicine99
Nurse Practitioner20
Anesthesiology Assistant9
Pediatric Medicine5
Family Practice3
Clinical Psychologist2
Sports Medicine2
5 other specialties5

Nearest to this location (20)

See all 412
Nurse Practitioner
NPI 1598012346
48 CENTENNIAL WAY
Greenville, SC 29605
(864) 455-1600
✔ PECOS✔ Accepts Medicare0.3 mi
Pediatric Medicine
NPI 1174798599
20 MEDICAL RIDGE DR
Greenville, SC 29605
(864) 220-7270
✔ PECOS0.5 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1932144144
701 GROVE RD
Greenville, SC 29605
(864) 455-7111
✔ Accepts Medicare0.7 mi
Emergency Medicine
NPI 1013997824
701 GROVE RD DEPARTMENT OF EMERGENCY MEDICINE
Greenville, SC 29605
(864) 455-7157
✔ PECOS0.7 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1801265145
701 GROVE RD
Greenville, SC 29605
(864) 455-7000
✔ PECOS✔ Accepts Medicare0.7 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1922576131
701 GROVE RD
Greenville, SC 29605
(864) 455-3076
✔ Accepts Medicare0.7 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1518075647
701 GROVE RD
Greenville, SC 29605
(864) 455-3076
✔ Accepts Medicare0.7 mi
Emergency Medicine
NPI 1245244193
701 GROVE RD FL 1
Greenville, SC 29605
(864) 455-7899
✔ PECOS✔ Accepts Medicare0.7 mi
Emergency Medicine
NPI 1013969732
701 GROVE RD FL 1
Greenville, SC 29605
(864) 455-7899
✔ PECOS0.7 mi
Emergency Medicine
NPI 1174967723
701 GROVE RD FL 1
Greenville, SC 29605
(864) 455-7899
✔ PECOS✔ Accepts Medicare0.7 mi
Anesthesiology Assistant
NPI 1114266632
701 GROVE RD
Greenville, SC 29605
(864) 455-3076
0.7 mi
Nurse Practitioner
NPI 1003331158
701 GROVE RD FL 1
Greenville, SC 29605
(864) 455-7000
✔ PECOS0.7 mi
Anesthesiology Assistant
NPI 1306836986
701 GROVE RD
Greenville, SC 29605
(864) 455-3076
✔ Accepts Medicare0.7 mi
Pediatric Medicine
NPI 1346539004
701 GROVE RD
Greenville, SC 29605
(864) 455-7000
✔ PECOS0.7 mi
Anesthesiology Assistant
NPI 1184258535
701 GROVE RD
Greenville, SC 29605
(864) 455-3076
✔ Accepts Medicare0.7 mi
Nurse Practitioner
NPI 1780927186
890 W FARIS RD STE 580
Greenville, SC 29605
(864) 455-7874
✔ PECOS✔ Accepts Medicare0.8 mi
Sports Medicine
NPI 1710183694
877 W FARIS RD SUITE A
Greenville, SC 29605
(864) 455-7800
✔ PECOS✔ Accepts Medicare0.8 mi
Hospitalist
NPI 1437108602
701 GROVE RD ER ADMINISTRATION
Greenville, SC 29605
(864) 455-6372
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1467984310
701 GROVE RD FL 1
Greenville, SC 29605
(864) 455-7899
✔ PECOS✔ Accepts Medicare0.9 mi
Pediatric Medicine
NPI 1457438368
701 GROVE RD
Greenville, SC 29605
(864) 455-7899
✔ PECOS0.9 mi
See all 412 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1407301211. It was assigned to this organization in the NPPES registry on August 22, 2016. The provider is doing business as Prisma Health Ob/Gyn Clinic.

Where is Prisma Health-Upstate located?

Prisma Health-Upstate is located at 1120 Grove Rd, Greenville, SC 29605. The listed phone number is (864) 455-6444.

What is Prisma Health-Upstate's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Prisma Health-Upstate enrolled in Medicare?

Yes. Prisma Health-Upstate is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prisma Health-Upstate?

According to the CMS Revalidation Reassignment List (October 2026 release), 412 clinicians in 13 Medicare specialties reassign their Medicare billing to Prisma Health-Upstate. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (267), Emergency Medicine (99) and Nurse Practitioner (20). Of these, 304 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Prisma Health-Upstate accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and InStil Health list Prisma Health-Upstate as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prisma Health-Upstate was last updated on February 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.