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PRISMA HEALTH LAURENS FAMILY MED-MAIN
NPI 1659051464
Clinic/Center - Multi-Specialty in Laurens, SC

Active since July 18, 2023CLIA 42D0250262 · Accreditation
106 PARKVIEW DR, LAURENS, SC 29360(864) 984-0571(864) 984-3610 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 12, 2023, Jul 18, 2023 (2 updates tracked since 2023).

About Prisma Health Laurens Family Med-main NPPES

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

PRISMA HEALTH LAURENS FAMILY MED-MAIN (NPI 1659051464) is a healthcare organization registered as a multi-specialty in Laurens, South Carolina and active in the NPI registry since July 2023. The organization holds an CLIA Accreditation certificate valid through December 9, 2027 and lists Polly H Miller, Svp Finance, Enterprise Contracting, as its authorized official.

NPPES Registry Identity

NPI1659051464
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePRISMA HEALTH-UPSTATE
Location Address106 PARKVIEW DRLaurens, SC 29360-2652
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842
Phone(864) 984-0571
Fax(864) 984-3610
Organization SubpartNo
Authorized OfficialPolly H MillerSvp Finance, Enterprise Contracting · (864) 522-2286
Enumeration DateJuly 18, 2023
Last NPPES UpdateOctober 12, 20232 updates tracked since enumeration
NPPES CertifiedOctober 12, 2023
✔ NPI 1659051464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
106 PARKVIEW DR, Laurens, SC 29360
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Other Names 1

Doing Business AsPrisma Health Laurens Family Med-main

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 Accreditation 42D0250262

Prisma Health - Upstate Dba Laurens Family Medicine - Main Poc Lab · Laurens, SC
Active · expires Dec 9, 2027
CLIA Number42D0250262
Laboratory TypePractitioner Other
Certificate Effective DateDecember 10, 2025
Certificate Expiration DateDecember 9, 2027
Laboratory DirectorDr. Nathanael Benitez
Laboratory Phone(864) 984-0571
Laboratory LocationPrisma Health - Upstate Dba Laurens Family Medicine - Main Poc Lab106 Parkview Drive, Laurens, SC 29360
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

JENNA ANN ALLEN DNP, APRN, FNP-C
Nurse Practitioner (Family)
106 PARKVIEW DR
LAURENS, SC 29360
Laurens County (864) 984-0571
JACK E. DOBKIN D.O.
Internal Medicine (Cardiovascular Disease)
106 PARKVIEW DR
LAURENS, SC 29360
Laurens County (864) 984-0571
SUPPLEMENTAL HEALTH CARE
Clinic/Center
106 PARKVIEW DR
LAURENS, SC 29360
Laurens County (864) 681-2955
STEPHANIE ERIN LEONARD PA-C
Physician Assistant
106 PARKVIEW DR
LAURENS, SC 29360
Laurens County (443) 813-1639
KENNETH DAVID KISER MD
Family Medicine
106 PARKVIEW DR
LAURENS, SC 29360
Laurens County (864) 984-0571
DR. NATHANAEL RICARDO BENITEZ D.O.
Family Medicine
106 PARKVIEW DR
LAURENS, SC 29360
Laurens County (864) 984-0571
JENNA MICHELLE SCHREINER PA-C
Physician Assistant
106 PARKVIEW DR
LAURENS, SC 29360
Laurens County (864) 984-0571
LORRAINE M ARCHER FNP
Nurse Practitioner (Family)
106 PARKVIEW DR
LAURENS, SC 29360
Laurens County (864) 984-0571

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 1659051464. It was assigned to this organization in the NPPES registry on July 18, 2023. The provider is doing business as Prisma Health Laurens Family Med-Main.

Where is Prisma Health-Upstate located?

Prisma Health-Upstate is located at 106 Parkview Dr, Laurens, SC 29360. The listed phone number is (864) 984-0571.

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 Accreditation (number 42D0250262) is associated with this NPI, valid through December 9, 2027. 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 12, 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.