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PRISMA HEALTH PEDIATRICS-CLEMSON
NPI 1619423704
Clinic/Center - Rural Health in Clemson, SC

Active since August 29, 2016
450 OLD GREENVILLE HWY, CLEMSON, SC 29631(864) 653-8964(864) 653-8963 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 15, 2022, Feb 4, 2021, Apr 13, 2020 and 3 more (6 updates tracked since 2016).

About Prisma Health Pediatrics-clemson NPPES

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

PRISMA HEALTH PEDIATRICS-CLEMSON (NPI 1619423704) is a healthcare organization registered as a rural health in Clemson, South Carolina and active in the NPI registry since August 2016. The organization lists Polly H. Miller, Svp Finance, Enterprise Contracting, as its authorized official.

NPPES Registry Identity

NPI1619423704
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePRISMA HEALTH-UPSTATE
Location Address450 OLD GREENVILLE HWYClemson, SC 29631-1670
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603
Phone(864) 653-8964
Fax(864) 653-8963
Organization SubpartNo
Authorized OfficialPolly H. MillerSvp Finance, Enterprise Contracting · (864) 522-2286
Enumeration DateAugust 29, 2016
Last NPPES UpdateFebruary 15, 20226 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2022
✔ NPI 1619423704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
450 OLD GREENVILLE HWY, Clemson, SC 29631
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Other Names 1

Doing Business AsPrisma Health Pediatrics-clemson

Other Identifiers 1

MedicaidRHC235SC

Accepted Insurance

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

Other Providers at the Same Location NPPES 4

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

PRISMA HEALTH-UPSTATE
Clinic/Center (Multi-Specialty)
450 OLD GREENVILLE HWY
CLEMSON, SC 29631
Pickens County (864) 653-8964
ANTOINETTE MARIE BANNISTER M.D.
Pediatrics
450 OLD GREENVILLE HWY
CLEMSON, SC 29631
Pickens County (864) 653-8964
MARION A WILLS M.D.
Pediatrics
450 OLD GREENVILLE HWY
CLEMSON, SC 29631
Pickens County (864) 653-8964
BETH LYNN DICKERSON NP
Nurse Practitioner (Pediatrics)
450 OLD GREENVILLE HWY
CLEMSON, SC 29631
Pickens County (864) 653-8964

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 1619423704. It was assigned to this organization in the NPPES registry on August 29, 2016. The provider is doing business as Prisma Health Pediatrics-Clemson.

Where is Prisma Health-Upstate located?

Prisma Health-Upstate is located at 450 Old Greenville Hwy, Clemson, SC 29631. The listed phone number is (864) 653-8964.

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.

What insurance does Prisma Health-Upstate accept?

Health plans from 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 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.