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PRISMA HEALTH MOUNTAIN LAKES FAMILY MEDICINE
NPI 1932746815
Clinic/Center - Rural Health in Seneca, SC

Active since December 10, 2019
10110 CLEMSON BLVD, SENECA, SC 29678(864) 482-3148(864) 482-0505 Get Directions Write a Review

NPPES record last updated: February 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2021, Apr 13, 2020, Dec 10, 2019 (3 updates tracked since 2019).

About Prisma Health Mountain Lakes Family Medicine NPPES

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

PRISMA HEALTH MOUNTAIN LAKES FAMILY MEDICINE (NPI 1932746815) is a healthcare organization registered as a rural health in Seneca, South Carolina and active in the NPI registry since December 2019. The organization lists Polly H. Miller, Vp Payor Strategies & Alignment, as its authorized official.

NPPES Registry Identity

NPI1932746815
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePRISMA HEALTH-UPSTATE
Location Address10110 CLEMSON BLVDSeneca, SC 29678-0812
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 455-7000
Phone(864) 482-3148
Fax(864) 482-0505
Organization SubpartNo
Authorized OfficialPolly H. MillerVp Payor Strategies & Alignment · (864) 522-2286
Enumeration DateDecember 10, 2019
Last NPPES UpdateFebruary 5, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2021
✔ NPI 1932746815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
10110 CLEMSON BLVD, Seneca, SC 29678
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Other Names 1

Doing Business AsPrisma Health Mountain Lakes Family Medicine

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 ›

Other Providers at the Same Location NPPES 10

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

DR. MARTIN AUGUSTUS ALLEN M.D.
Obstetrics & Gynecology
10110 CLEMSON BLVD
SENECA, SC 29678
Oconee County (864) 482-3148
KEVIN RICHARD SAUNDERS M.D.
Family Medicine
10110 CLEMSON BLVD
SENECA, SC 29678
Oconee County (864) 482-3148
MRS. ELIZABETH ANN CORNINE FNP-BC
Nurse Practitioner (Family)
10110 CLEMSON BLVD
SENECA, SC 29678
Oconee County (864) 482-3148
ANDREW HAGENAUER D.O
Family Medicine (Sports Medicine)
10110 CLEMSON BLVD
SENECA, SC 29678
Oconee County (864) 482-3148
ZARA COLON PA
Physician Assistant
10110 CLEMSON BLVD
SENECA, SC 29678
Oconee County (864) 482-3148
PRISMA HEALTH-UPSTATE
Clinic/Center (Multi-Specialty)
10110 CLEMSON BLVD
SENECA, SC 29678
Oconee County (864) 482-3148
MR. HARLEY E CHAPMAN JR. NP
Nurse Practitioner (Family)
10110 CLEMSON BLVD
SENECA, SC 29678
Oconee County (864) 482-3148
ANDREA L ALLYN M.D.
Internal Medicine
10110 CLEMSON BLVD
SENECA, SC 29678
Oconee County (864) 482-0500

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 1932746815. It was assigned to this organization in the NPPES registry on December 10, 2019. The provider is doing business as Prisma Health Mountain Lakes Family Medicine.

Where is Prisma Health-Upstate located?

Prisma Health-Upstate is located at 10110 Clemson Blvd, Seneca, SC 29678. The listed phone number is (864) 482-3148.

What is Prisma Health-Upstate's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

What insurance does Prisma Health-Upstate accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and InStil Health 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 February 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.