PRISMA HEALTH LAURENS FAMILY MED-MAIN
NPI 1942755848
Clinic/Center - Rural Health in Laurens, SC

Q: What is Prisma Health-Upstate's NPI number?

The NPI number for Prisma Health-Upstate is 1942755848. It was assigned to this organization in the NPPES registry on August 20, 2016. The provider is doing business as Prisma Health Laurens Family Med-Main.

Q: 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.

Active since August 20, 2016CLIA 42D0250262 · Accreditation

106 PARKVIEW DR, LAURENS, SC 29360(864) 984-0571 Get Directions Write a Review

NPPES record last updated: February 5, 2021. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Feb 5, 2021, Apr 13, 2020, May 16, 2019 and 1 more (4 updates tracked since 2016).

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About Prisma Health Laurens Family Med-main NPPES

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

PRISMA HEALTH LAURENS FAMILY MED-MAIN (NPI 1942755848) is a healthcare organization registered as a rural health in Laurens, South Carolina and active in the NPI registry since August 2016. The organization holds an CLIA Accreditation certificate valid through December 9, 2027 and lists Polly H. Miller, Vp Payor Strategies & Alignment, as its authorized official.

NPPES Registry Identity

NPI1942755848

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NamePRISMA HEALTH-UPSTATE

Location Address106 PARKVIEW DRLaurens, SC 29360-2652

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 455-7000

Phone(864) 984-0571

Organization SubpartNo

Authorized OfficialPolly H. MillerVp Payor Strategies & Alignment · (864) 522-2286

Enumeration DateAugust 20, 2016

Last NPPES UpdateFebruary 5, 20214 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2021

✔ NPI 1942755848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

106 PARKVIEW DR, Laurens, SC 29360

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Other Names 1

Doing Business AsPrisma Health Laurens Family Med-main

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 Accreditation 42D0250262

Prisma Health - Upstate Dba Laurens Family Medicine - Main Poc Lab · Laurens, SC

Active · expires Dec 9, 2027

CLIA Number42D0250262

Laboratory TypePractitioner Other

Certificate Effective DateDecember 10, 2025

Certificate Expiration DateDecember 9, 2027

Laboratory DirectorDr. Nathanael Benitez

Laboratory Phone(864) 984-0571

Laboratory LocationPrisma Health - Upstate Dba Laurens Family Medicine - Main Poc Lab106 Parkview Drive, Laurens, SC 29360

CLIA data matches this NPI record on: Address Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

JENNA ANN ALLEN DNP, APRN, FNP-C

Nurse Practitioner (Family)