Provider Type Icon

PRISMA HEALTH UNIVERSITY MEDICAL GROUP NPI 1295763217


NPI Information

NPI: 1295763217
Provider Name: PRISMA HEALTH UNIVERSITY MEDICAL GROUP
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 42D0252444

Address:
2A CLEVELAND CT
GREENVILLE, SC
ZIP 29607
Phone: (864) 454-2000
Get Directions

PRISMA HEALTH UNIVERSITY MEDICAL GROUP is a family medicine in Greenville, SC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PRISMA HEALTH UNIVERSITY MEDICAL GROUP NPI is 1295763217. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2A CLEVELAND CT
GREENVILLE, SC
ZIP 29607-414
Phone: (864) 454-2000
Fax: (864) 797-6210

The provider's authorized official is Kristi Lawrence .
The authorized official title is Director Of Provider Enrollment and has the following contact phone number (864) 385-4790.

The CLIA number assigned to this NPI record is 42D0252444 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/29/2006 and was last updated on 4/14/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes
2207R00000XInternal MedicineNo
3207V00000XObstetrics & GynecologyNo
4208000000XPediatricsNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.