Provider Type Icon

PRISMA HEALTH UNIVERSITY MEDICAL GROUP NPI 1083787006


NPI Information

NPI: 1083787006
Provider Name: PRISMA HEALTH UNIVERSITY MEDICAL GROUP

Doing Business As: UNIVERSITY MEDICAL GROUP/INTERNAL MEDICINE ASSOCIATES OF GREENVILLE

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
1025 VERDAE BLVD
SUITE A
GREENVILLE, SC
ZIP 29607
Phone: (864) 242-4683
Get Directions

PRISMA HEALTH UNIVERSITY MEDICAL GROUP is an internal medicine in Greenville, SC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PRISMA HEALTH UNIVERSITY MEDICAL GROUP NPI is 1083787006. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As University Medical Group/internal Medicine Associates Of Greenville.

The provider's business location address is:

1025 VERDAE BLVD
SUITE A
GREENVILLE, SC
ZIP 29607-032
Phone: (864) 242-4683
Fax: (864) 240-8104

The provider's authorized official is Polly H Miller .
The authorized official title is Vp Of Payor Strategies & Alignment and has the following contact phone number (864) 522-2286.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 8/20/2020.


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
1207RC0000XInternal MedicineCardiovascular DiseaseSOUTH CAROLINANo
2207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismSOUTH CAROLINANo
3207RG0100XInternal MedicineGastroenterologySOUTH CAROLINANo
4207RR0500XInternal MedicineRheumatologySOUTH CAROLINANo
5208600000XSurgerySOUTH CAROLINANo
6207R00000XInternal MedicineSOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GP4671MEDICAIDSOUTH CAROLINA

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.