EASTSIDE PEDIATRICS, PA
NPI 1801524392
Pediatrics in Taylors, SC

Q: What is Prisma Health University Medical Group's specialty?

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

Active since August 11, 2022CLIA 42D0975465 · Certificate of Compliance

4501 OLD SPARTANBURG RD STE 9, TAYLORS, SC 29687(864) 292-8868(864) 268-9564 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 29, 2022, Aug 11, 2022 (2 updates tracked since 2022).

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About Eastside Pediatrics, Pa NPPES

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

EASTSIDE PEDIATRICS, PA (NPI 1801524392) is a healthcare organization registered as a pediatrics in Taylors, South Carolina and active in the NPI registry since August 2022. The organization holds a CLIA Certificate of Compliance certificate valid through February 7, 2028 and lists Kristi Ann Lawrence, Director, as its authorized official.

NPPES Registry Identity

NPI1801524392

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NamePRISMA HEALTH UNIVERSITY MEDICAL GROUP

Location Address4501 OLD SPARTANBURG RD STE 9Taylors, SC 29687-4105

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842

Phone(864) 292-8868

Fax(864) 268-9564

Organization SubpartNo

Authorized OfficialKristi Ann LawrenceDirector · (864) 522-8611

Enumeration DateAugust 11, 2022

Last NPPES UpdateAugust 29, 20222 updates tracked since enumeration

NPPES CertifiedAugust 29, 2022

✔ NPI 1801524392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

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.

4501 OLD SPARTANBURG RD STE 9, Taylors, SC 29687

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Other Names 1

Doing Business AsEastside Pediatrics, Pa

Other Identifiers 1

MedicaidGP0576SC

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 of North Carolina, BlueCross BlueShield of South 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 Compliance 42D0975465

Eastside Pediatrics, PA · Taylors, SC

Active · expires Feb 7, 2028

CLIA Number42D0975465

Laboratory TypePhysician Office

Certificate Effective DateFebruary 8, 2026

Certificate Expiration DateFebruary 7, 2028

Laboratory DirectorBrian K. Few MD

Laboratory Phone(864) 292-8868

Laboratory LocationEastside Pediatrics, PA4501 Old Spartanburg Road, Suite 9, Taylors, SC 29687

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 University Medical Group's NPI number?

The NPI number for Prisma Health University Medical Group is 1801524392. It was assigned to this organization in the NPPES registry on August 11, 2022. The provider is doing business as Eastside Pediatrics, PA.

Where is Prisma Health University Medical Group located?

Prisma Health University Medical Group is located at 4501 Old Spartanburg Rd Ste 9, Taylors, SC 29687. The listed phone number is (864) 292-8868.

What is Prisma Health University Medical Group's specialty?

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

Does Prisma Health University Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 42D0975465) is associated with this NPI, valid through February 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Prisma Health University Medical Group accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and InStil Health list Prisma Health University Medical Group 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 University Medical Group was last updated on August 29, 2022. 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.