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

Q: 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.

Q: What is Kevin Polley's specialty?

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

Q: 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.

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: August 02, 2026.

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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

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Other Identifiers 4

Medicaid187096SC

Other576007863SC · Aetna

Other576007863SC · Uhc

Other20009601SC · Select Health

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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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