PRISMA HEALTH-UPSTATE (NPI# 1962958066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962958066 |
| Entity Type | Organization |
| Organization Name | PRISMA HEALTH-UPSTATE |
| Other Organization Name | PRISMA HEALTH GREENVILLE BIRTH CENTER |
| Practice Address |
31 Medical Ridge Dr Greenville SC 29605-4268 |
| Mailing Address |
1 Independence Pt Suite 212 Greenville SC 29615-4536 |
| Practice Telephone | 8647977350 |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2020-04-13 |
| Authorized Official Name | POLLY H. MILLER (VP PAYOR STRATEGIES & ALIGNMENT) |
| Authorized Official Telephone | 8645222286 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QB0400X |
Clinic/Center Specialization: Birthing |
BC-0012 | SC | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| GHS Greenville Birth Center | Doing Business As Name - Organization |
| Prisma Health Greenville Birth Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396207221 | Prisma Health-upstate | Anesthesiology | 905 Verdae Blvd Ste 102, Greenville, SC 29607-4029 | 2019-04-01 |
| 1760963243 | Prisma Health-upstate | General Acute Care Hospital | 112 John St Ste 104, Easley, SC 29640-1405 | 2018-08-23 |
| 1578044053 | Prisma Health-upstate | General Acute Care Hospital | 11402 Anderson Rd Ste B, Greenville, SC 29611-7560 | 2018-08-23 |
| 1790264497 | Prisma Health-upstate | General Acute Care Hospital | 11404 Anderson Rd, Greenville, SC 29611 | 2018-08-13 |
| 1982159877 | Prisma Health-upstate | Clinic/Center | 741 Se Main St, Simpsonville, SC 29681-3237 | 2016-08-20 |
| 1205459443 | Prisma Health-upstate | Clinic/Center | 807 N Main St, Travelers Rest, SC 29690-1551 | 2020-05-22 |
| 1174161806 | Prisma Health-upstate | Clinic/Center | 11082 N Radio Station Rd, Seneca, SC 29678-1142 | 2019-12-12 |
| 1700424439 | Prisma Health-upstate | Clinic/Center | 12016 N Radio Station Rd, Seneca, SC 29678-1143 | 2019-12-12 |
| 1043857998 | Prisma Health-upstate | Clinic/Center | 103 Whitetail Dr, Walhalla, SC 29691-5837 | 2019-12-10 |
| 1932746815 | Prisma Health-upstate | Clinic/Center | 10110 Clemson Blvd, Seneca, SC 29678-0812 | 2019-12-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Prisma Health-Upstate | 300 E Mcbee Ave Suite 500, Greenville, SC 29601 |
| Street Address |
31 MEDICAL RIDGE DR |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-4268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124070594 | Joseph William Beets | Internal Medicine | 31 Medical Ridge Dr, Greenville, SC 29605 | 2006-05-16 |
| 1487044418 | Greenville Health System | Clinic/Center | 31 Medical Ridge Dr, Greenville, SC 29605-4268 | 2015-01-29 |
| 1457521668 | Joseph Cart Debrux Jr. | Surgery | 31 Medical Ridge Dr, Greenville, SC 29605-4268 | 2008-03-04 |
| 1215977376 | James Gilbert Wallace | Surgery | 31 Medical Ridge Dr, Greenville, SC 29605-4268 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
| 1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
| 1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
| 1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
| 1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
| 1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
| 1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
| Find all providers in zip 29605 | ||||
| Taxonomy Code | 261QB0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Birthing |
| A freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman’s residence, and that provides prenatal, labor and delivery, and postpartum care, as well as other ambulatory services for women and newborns. |
| Notes: Source: Summarized from Social Security Act [42 U.S.C. §1396d(1)(3)(B)] [1/1/2013: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528446788 | Naturally Simple, LLC | Clinic/Center | 118 E Benton St, Greenville, MI 48838-2333 | 2015-05-08 |
| 1902438724 | Blessed Births Family Wellness & Birth Center | Clinic/Center | 23 Mills Ave, Greenville, SC 29605-4015 | 2020-02-10 |
| 1427526227 | Private Healthcare Facilities | Clinic/Center | 2406 Church St, Greenville, TX 75401-3531 | 2018-11-09 |
| 1235618968 | Private Healthcare Facilities | Clinic/Center | 23 Mills Ave, Greenville, SC 29605-4015 | 2018-08-13 |
| 1962953323 | Edge Medical Services | Clinic/Center | 2406 Church St, Greenville, TX 75401-3531 | 2016-10-20 |
| 1861942468 | Edge Medical Services | Clinic/Center | 23 Mills Ave, Greenville, SC 29605-4015 | 2016-10-06 |
| 1134581192 | National Birth Centers Inc | Clinic/Center | 23 Mills Ave, Greenville, SC 29605-4015 | 2016-03-28 |
| 1942665898 | National Birth Centers Inc | Clinic/Center | 2406 Church St, Greenville, TX 75401-3531 | 2015-12-19 |
| 1720453038 | Naturally Simple | Clinic/Center | 118 E Benton St, Greenville, MI 48838-2333 | 2015-12-11 |
| 1487044418 | Greenville Health System | Clinic/Center | 31 Medical Ridge Dr, Greenville, SC 29605-4268 | 2015-01-29 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
Please comment or provide details below to improve the information on PRISMA HEALTH-UPSTATE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.