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EXPRESS PEDIATRIC CARE, P.A.
NPI 1609259217
Pediatrics in Greenville, SC

Active since June 30, 2015CLIA 42D1103647 · Waiver
274 COMMONWEALTH DR, SUITE C, GREENVILLE, SC 29615(864) 551-2422 Get Directions Write a Review

NPPES record last updated: June 30, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Express Pediatric Care, P.a. NPPES

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

EXPRESS PEDIATRIC CARE, P.A. (NPI 1609259217) is a healthcare organization registered as a pediatrics in Greenville, South Carolina and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through August 13, 2027 and lists Dawn Polly, Owner, as its authorized official.

NPPES Registry Identity

NPI1609259217
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameEXPRESS PEDIATRIC CARE, P.A.
Location Address274 COMMONWEALTH DR, SUITE CGreenville, SC 29615-4869
Mailing Address2607 Woodruff Rd, Suite E #313Simpsonville, SC 29681-4803
Phone(864) 551-2422
Organization SubpartNo
Authorized OfficialDawn PollyOwner · (864) 908-5797
Enumeration DateJune 30, 2015
✔ NPI 1609259217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in SC · 28748
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
274 COMMONWEALTH DR, Greenville, SC 29615
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Other Identifiers 1

Medicaid287488SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

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 42D1103647

Express Pediatric Care, PA · Greenville, SC
Active · expires Aug 13, 2027
CLIA Number42D1103647
Laboratory TypePhysician Office
Certificate Effective DateAugust 14, 2025
Certificate Expiration DateAugust 13, 2027
Laboratory DirectorDr. Dawn Polly
Laboratory Phone(864) 551-2422
Laboratory LocationExpress Pediatric Care, PA10 Enterprise Blvd, Suite 105 Eastside Medical Center, Greenville, SC 29615
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

EXPRESSCARE PEDIATRICS, PC
Clinic/Center (Health Service)
274 COMMONWEALTH DR, SUITE C
GREENVILLE, SC 29615
Greenville County (864) 551-2422
MR. DAVID DEVON WILT FNP
Nurse Practitioner
274 COMMONWEALTH DR
GREENVILLE, SC 29615
Greenville County (864) 286-8222
TRIBE513, PA
Obstetrics & Gynecology
274 COMMONWEALTH DR, SUITE A
GREENVILLE, SC 29615
Greenville County (864) 720-1299
JOHN FRANCIS PILCH M.D.
Psychiatry & Neurology (Neurology)
274 COMMONWEALTH DR
GREENVILLE, SC 29615
Greenville County (864) 286-8222
DR. DAWN POLLY M.D.
Pediatrics
274 COMMONWEALTH DR, SUITE C
GREENVILLE, SC 29615
Greenville County (864) 551-2422
MRS. EVANS NESTERTSOV APRN, FNP-C
Nurse Practitioner (Family)
274 COMMONWEALTH DR
GREENVILLE, SC 29615
Greenville County (864) 478-8580
MERCY OB GYN
Obstetrics & Gynecology
274 COMMONWEALTH DR, SUITE B
GREENVILLE, SC 29615
Greenville County (864) 288-3100

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 Express Pediatric Care, P.A.'s NPI number?

The NPI number for Express Pediatric Care, P.A. is 1609259217. It was assigned to this organization in the NPPES registry on June 30, 2015.

Where is Express Pediatric Care, P.A. located?

Express Pediatric Care, P.A. is located at 274 Commonwealth Dr Suite C, Greenville, SC 29615. The listed phone number is (864) 551-2422.

What is Express Pediatric Care, P.A.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Express Pediatric Care, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D1103647) is associated with this NPI, valid through August 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Express Pediatric Care, P.A. accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare list Express Pediatric Care, P.A. 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 Express Pediatric Care, P.A. was last updated on June 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.