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PRISMA HEALTH UNIVERSITY MEDICAL GROUP NPI 1053786483


NPI Information

NPI: 1053786483
Provider Name: PRISMA HEALTH UNIVERSITY MEDICAL GROUP

Doing Business As: UNIVERSITY MEDICAL GROUP/MOBILE HEALTH CLINIC

Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization
Address:
701 GROVE RD
GREENVILLE, SC
ZIP 29605
Phone: (864) 797-7875
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PRISMA HEALTH UNIVERSITY MEDICAL GROUP is a nurse practitioner in Greenville, SC. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. PRISMA HEALTH UNIVERSITY MEDICAL GROUP NPI is 1053786483. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As University Medical Group/mobile Health Clinic.

The provider's business location address is:

701 GROVE RD
GREENVILLE, SC
ZIP 29605-210
Phone: (864) 797-7875
Fax: (864) 797-7880

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

The enumeration date for this NPI number is 12/10/2015 and was last updated on 4/24/2024.


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
1363L00000XNurse PractitionerYes
2363LA2200XNurse PractitionerAdult HealthNo
3363LF0000XNurse PractitionerFamilyNo
4363LG0600XNurse PractitionerGerontologyNo

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: 4/28/2024

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