EASTSIDE PEDIATRICS, PA
NPI 1801524392
Pediatrics in Taylors, SC
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
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eastside Pediatrics, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3,277Medicare enrollment records show 3,277 clinicians reassign Medicare billing to Eastside Pediatrics, PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 2,242 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 69
Nearest to this location (20)
See all 3,277Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, SCFrequently 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.
Is Prisma Health University Medical Group enrolled in Medicare?
Yes. Prisma Health University Medical Group is registered in the Medicare PECOS enrollment system.
When is Prisma Health University Medical Group's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (South Carolina, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Prisma Health University Medical Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 3,277 clinicians in 69 Medicare specialties reassign their Medicare billing to Prisma Health University Medical Group. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (618), Certified Registered Nurse Anesthetist (CRNA) (509) and Emergency Medicine (218). Of these, 3 practice at this address and 2,242 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Health, 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 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.
# Eastside Pediatrics, Pa · NPI 1801524392
Pediatrics organization in Taylors, South Carolina. Organization record, active in the CMS NPPES registry since August 11, 2022.
## Identity
- **NPI:** 1801524392 (Entity type: Organization)
- **Enumerated:** August 11, 2022
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Legal business name:** Prisma Health University Medical Group
- **Organization subpart:** No
- **Authorized official:** Kristi Lawrence, DIRECTOR
## Practice location
- **Address:** 4501 OLD SPARTANBURG RD STE 9, Taylors, SC 29687-4105
- **Phone:** (864) 292-8868 · **Fax:** (864) 268-9564
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, South Carolina, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3,277 clinicians in 69 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (618), Certified Registered Nurse Anesthetist (CRNA) (509), Emergency Medicine (218); 3 practice at this address and 2,242 within 10 miles; [full list](https://npiprofile.com/npi/1801524392/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 29, 2022
- **Other identifiers:** Medicaid GP0576 (SC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1801524392) · Data from the CMS NPPES public registry.