PRISMA HEALTH OUTPATIENT ENDOSCOPY PATEWOOD
NPI 1730804246
General Acute Care Hospital in Greenville, SC

Q: What is Prisma Health-Upstate's NPI number?

The NPI number for Prisma Health-Upstate is 1730804246. It was assigned to this organization in the NPPES registry on October 6, 2022. The provider is doing business as Prisma Health Outpatient Endoscopy Patewood.

Q: What is Prisma Health-Upstate's specialty?

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

Active since October 06, 2022

200 PATEWOOD DR STE B100, GREENVILLE, SC 29615(864) 454-8611 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 3, 2024, May 1, 2024, Apr 10, 2024 and 1 more (4 updates tracked since 2022).

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About Prisma Health Outpatient Endoscopy Patewood NPPES

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

PRISMA HEALTH OUTPATIENT ENDOSCOPY PATEWOOD (NPI 1730804246) is a healthcare organization registered as a general acute care hospital in Greenville, South Carolina and active in the NPI registry since October 2022. The organization lists Polly H. Miller, Svp Finance/enterprise Contracting, as its authorized official.

NPPES Registry Identity

NPI1730804246

Entity TypeOrganization

Primary Taxonomy282N00000X

Legal Business NamePRISMA HEALTH-UPSTATE

Location Address200 PATEWOOD DR STE B100Greenville, SC 29615-6320

Mailing Address300 E Mcbee AveGreenville, SC 29601-2842

Phone(864) 454-8611

Organization SubpartNo

Authorized OfficialPolly H. MillerSvp Finance/enterprise Contracting · (864) 522-2286

Enumeration DateOctober 6, 2022

Last NPPES UpdateJune 3, 20244 updates tracked since enumeration

NPPES CertifiedJune 3, 2024

✔ NPI 1730804246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals

Taxonomy Code282N00000X

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.

200 PATEWOOD DR STE B100, Greenville, SC 29615

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Other Names 1

Doing Business AsPrisma Health Outpatient Endoscopy Patewood

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina.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 42D2308680

Prisma Health Outpatient Endoscopy Patewood · Greenville, SC

Expired · Jul 31, 2026

CLIA Number42D2308680

Laboratory TypeAncillary Testing Site In Health Care Center

Certificate Effective DateAugust 1, 2024

Certificate Expiration DateJuly 31, 2026

Laboratory DirectorRobert Jr A. Farrar

Laboratory Phone(864) 454-1680

Laboratory LocationPrisma Health Outpatient Endoscopy Patewood200 Patewood Dr Suite B100, Greenville, SC 29615

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

JAMES DERRICK CALVERT CRNA

Nurse Anesthetist, Certified Registered

200 PATEWOOD DR STE B100
GREENVILLE, SC 29615

Greenville County (864) 232-7338

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 1730804246. It was assigned to this organization in the NPPES registry on October 6, 2022. The provider is doing business as Prisma Health Outpatient Endoscopy Patewood.

Where is Prisma Health-Upstate located?

Prisma Health-Upstate is located at 200 Patewood Dr Ste B100, Greenville, SC 29615. The listed phone number is (864) 454-8611.

What is Prisma Health-Upstate's specialty?

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

What insurance does Prisma Health-Upstate accept?

Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina 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 June 3, 2024. 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.