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KEVIN ARTHUR POLLEY MD
NPI 1912007535
Pediatrics - Pediatric Emergency Medicine in Greenville, SC

Active since September 24, 2006PECOS Enrolled
701 GROVE RD FL 1, GREENVILLE, SC 29605(864) 455-7899(864) 455-5474 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kevin Arthur Polley Md NPPES

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

KEVIN ARTHUR POLLEY MD (NPI 1912007535) is an individual pediatric emergency medicine provider in Greenville, South Carolina, licensed in South Carolina (18709) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912007535
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameKEVIN ARTHUR POLLEYCredential: MD
Location Address701 GROVE RD FL 1Greenville, SC 29605-4210
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603 · Fax (864) 454-1130
Phone(864) 455-7899
Fax(864) 455-5474
Sole ProprietorNo
Enumeration DateSeptember 24, 2006
Last NPPES UpdateMarch 7, 2023
NPPES CertifiedMay 31, 2022
✔ NPI 1912007535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in SC · 18709
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedEmergency Medicine · Pediatric Emergency MedicineTaxonomy 207PP0204X · License 18709 (SC)
701 GROVE RD FL 1, Greenville, SC 29605
Open in Google Maps ↗

Other Identifiers 4

Medicaid187096SC
Other576007863SC · Aetna
Other576007863SC · Uhc
Other20009601SC · Select Health

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Arthur Polley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Kevin Polley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prisma Health-Upstate
Same address
General Acute Care Hospital
701 GROVE RD
Greenville, SC 29605
  • Reassigned Medicare billing, South Carolina enrollment
  • 413 clinicians in this Medicare group
NPI 1649726738 (864) 455-7000
Prisma Health University Medical Group
0.1 mi
Nurse Practitioner
712 GROVE RD
Greenville, SC 29605
  • Reassigned Medicare billing, South Carolina enrollment
  • 3,281 clinicians in this Medicare group
NPI 1053786483 (864) 455-9349

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. AMBER GIST LANEY MD
Emergency Medicine
701 GROVE RD FL 1
GREENVILLE, SC 29605
Greenville County (864) 455-7899
JASON COLLINS NP
Nurse Practitioner (Gerontology)
701 GROVE RD FL 1
GREENVILLE, SC 29605
Greenville County (864) 455-7000
JASMINE LYNN JOLLY MD
Emergency Medicine
701 GROVE RD FL 1
GREENVILLE, SC 29605
Greenville County (864) 455-7899
DR. BRENT ALEXANDER OLDHAM MD, MPH
Emergency Medicine
701 GROVE RD FL 1
GREENVILLE, SC 29605
Greenville County (864) 455-7899
JILLIAN ROSE KENT PA-C
Physician Assistant
701 GROVE RD FL 1
GREENVILLE, SC 29605
Greenville County (864) 455-7899
CALEB SCOTT MANASCO MD
Emergency Medicine
701 GROVE RD FL 1
GREENVILLE, SC 29605
Greenville County (864) 455-7899
DEVON TRAPNELL SOWA PA-C
Physician Assistant
701 GROVE RD FL 1
GREENVILLE, SC 29605
Greenville County (864) 455-7899
MATTHEW LEWIS MULLINS
Emergency Medicine
701 GROVE RD FL 1
GREENVILLE, SC 29605
Greenville County (864) 455-7899

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 Kevin Polley's NPI number?

The NPI number for Kevin Polley is 1912007535. It was assigned to this individual provider in the NPPES registry on September 24, 2006.

Where is Kevin Polley located?

Kevin Polley practices at 701 Grove Rd Fl 1, Greenville, SC 29605. The listed phone number is (864) 455-7899.

What is Kevin Polley's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Kevin Polley enrolled in Medicare?

Yes. Kevin Polley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kevin Polley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Polley reassigns Medicare benefits to 2 organizations: Prisma Health-Upstate (Greenville, SC) and Prisma Health University Medical Group (Greenville, SC). Each 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 Kevin Polley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kevin Polley was last updated on March 7, 2023. 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.