DR. CAROL N PRYBY MD
NPI 1528044948
Family Medicine in Seneca, SC
About Dr. Carol N Pryby Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CAROL N PRYBY MD (NPI 1528044948) is an individual family medicine provider in Seneca, South Carolina, licensed in South Carolina (90939) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Oconee Memorial Hospital, and is a graduate of Mercer University School Of Medicine (1997).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Carol N Pryby Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Carol Pryby reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Seneca, SC 29678
- Reassigned Medicare billing, South Carolina enrollment
- Medicare enrollment name: Prisma Health University Medical Group
- 3,281 clinicians in this Medicare group
Macon, GA 31210
- Reassigned Medicare billing, Georgia enrollment
- 635 clinicians in this Medicare group
Savannah, GA 31404
- Reassigned Medicare billing, Georgia enrollment
- 104 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Prisma Health Oconee Memorial Hospital
Acute Care Hospitals · Seneca, SCPrisma Health Greenville Memorial Hospital
Acute Care Hospitals · Greenville, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29672 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Carol Pryby's NPI number?
The NPI number for Carol Pryby is 1528044948. It was assigned to this individual provider in the NPPES registry on December 17, 2005.
Where is Carol Pryby located?
Carol Pryby practices at 139 Lila Doyle Dr, Seneca, SC 29672. The listed phone number is (864) 482-3483.
What is Carol Pryby's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Carol Pryby enrolled in Medicare?
Yes. Carol Pryby is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Carol Pryby's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carol Pryby reassigns Medicare benefits to 3 organizations: Ghs Partners In Health, Inc. (Seneca, SC), Cogent Healthcare Of Georgia PC (Macon, GA) and Mppg, Inc. (Savannah, GA). Each 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 Carol Pryby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carol Pryby accept?
Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and InStil Health list Carol Pryby 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.
Is Carol Pryby affiliated with any hospitals?
According to CMS data, Carol Pryby is affiliated with Prisma Health Oconee Memorial Hospital and Prisma Health Greenville Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Carol Pryby was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Carol N Pryby, MD · NPI 1528044948
Family Medicine physician in Seneca, South Carolina. Individual provider, active in the CMS NPPES registry since December 17, 2005.
## Identity
- **NPI:** 1528044948 (Entity type: Individual)
- **Enumerated:** December 17, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 90939 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 139 LILA DOYLE DR, Seneca, SC 29672-9495
- **Phone:** (864) 482-3483 · **Fax:** (864) 482-3497
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Ghs Partners In Health, Inc. (NPI 1457730814, Seneca, SC); Cogent Healthcare Of Georgia PC (NPI 1609827823, Macon, GA); Mppg, Inc. (NPI 1033131172, Savannah, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Mercer University School Of Medicine, class of 1997
## Record status
- **NPPES last updated:** October 16, 2023
- **Other identifiers:** Other P01268617 (GA); Medicaid 000808497AD (GA); Other P00172236; and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1528044948) · Data from the CMS NPPES public registry.