Prisma Health-Upstate
Organization Active NPI General Acute Care Hospital · Greenville, SC
NPI 1124574223 · NPPES record last updated Jul 21, 2026
Key facts
- NPI
- 1124574223
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- HTL-0933 (SC)
- Legal business name
- PRISMA HEALTH-UPSTATE
- Practice address
- 200 Patewood Dr
Greenville, SC 29615-3593 - Phone
- (864) 454-2604
- NPI assigned
- Aug 29, 2016
- Organization subpart
- No
Authorized official
- Name
- Polly H. Miller
- Title
- VP Payor Strategies & Alignment
- Phone
- (864) 522-2286
Other NPIs on the same Medicare enrollment 43
Corporate family (same tax ID) 21
Facilities with the same owner 26
Practitioners 96
-
Anthony Austin Brown, CRNA
-
Kylie Burke, CRNA
-
John Michael Carpenter, CRNA
-
Yin Chan, CRNA
-
Leslie Renwick Chapman, CRNA
-
Jeffrey Cheng, C-AA
-
Tyler K Childers, AA
-
Marla Melana Cline, CRNA
-
Markella Delios Deering, CRNA
-
Simon Blaine Forrester, CRNA
-
David Guadalupe, AA-C
-
Lindsay Heaton Jones, CRNA
-
Deborah Lee Meek, CRNA
-
Christina Anne Montes, CRNA
-
Megan Grae Owens, CRNA
-
Tracy A Pedigo, CRNA
-
Julie E Rokala, CRNA
-
Michelle E Rucker, CRNA
-
Mary R Shealy, CRNA
-
Aaron Blake Taylor, C.R.N.A.
-
Kathleen Gilkey, CRNA
-
Clare D Heidler IV, CRNA
Affiliated clinicians 995
-
Wesley Matthew Abadie, M.D.
-
Michelle Leigh Abascal, CRNA
-
Fiby Kamel Abd El Malek, M.D.
-
John Robert Absher, M.D.
-
Murat Akyildiz, MD
-
Stormie Albrecht, NP
-
Jay Alden, DO
-
Judson Alderman, M.D.
-
Louise Anne Alexander, M.D.
-
Telicia Hughes Allen, M.D.
-
Thelma Claire Alleyne, M.D.
-
Steven C Allgood, M.D.
-
Brandon Anderson, M.D.
-
Joseph Thomas Anderson, M.D.
-
Shelley Smith Anderson, CRNA
-
Alanna E Angel, MD PHD
Medicare Care Compare: Hospital
- Listed as
- Prisma Health Patewood Hospital
- Overall star rating
- ★★★★★ 5 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- No
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D0960321 | Prisma Health - Upstate | Accreditation | Nov 5, 2026 |
| 42D2181559 | Prisma Health Patewood Hospital Mobile Pet Scan | Certificate of waiver | Apr 6, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SC
Hospital certification: CCN 420102
- Legal name
- PRISMA HEALTH-UPSTATE
- Doing business as
- PRISMA HEALTH PATEWOOD HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 12, 2007
- Last certification
- Dec 9, 2021
- Beds
- 72
- Ownership / control type
- Private (not for profit)
- Most recent change of ownership
- Oct 1, 2016 (1 total)
- Organization structure
- Other · Non-profit
- Incorporated
- Apr 1, 2019 in SC
- Enrollment address
- 175 Patewood Dr
Greenville, SC 29615-3570 - Hospital subgroups
- Short-term
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Kristi a Lawrence |
W-2 Managing Employee |
Apr 5, 2020 | 100% |
| Polly H Miller |
Corporate Officer |
Mar 20, 2020 | 100% |
| W-2 Managing Employee |
Mar 20, 2020 | 100% | |
| Prisma Health-Upstate |
5% Or Greater Direct Ownership Interest | Oct 1, 2016 | 100% |
| Operational/Managerial Control | Oct 1, 2016 | 100% |
All facility ownership & control disclosures 26
| Facility | Type | Role | Since |
|---|---|---|---|
| Prisma Health Hillcrest Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Oct 1, 2016 Oct 1, 2016 |
| Prisma Health Greer Memorial Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Oct 1, 2016 Oct 1, 2016 |
| Prisma Health Marshall I Pickens |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Oct 1, 2016 Oct 1, 2016 |
| Prisma Health Roger C Peace Rehabilitation |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Oct 1, 2016 Oct 1, 2016 |
| Prisma Health Pediatrics Verdae |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Oct 1, 2016 Oct 1, 2016 |
| Prisma Health Oconee Memorial Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Oct 1, 2016 Oct 1, 2016 |
| Prisma Health Laurens County Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Oct 1, 2016 Oct 1, 2016 |
| Prisma Health North Greenville Ltach |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Oct 1, 2016 Oct 1, 2016 |
| Prisma Health Baptist Easley Hospital O/P Therapy Services |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Oct 1, 2018 Oct 1, 2018 |
| Prisma Health Home Health--Upstate |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Oct 1, 2016 Oct 1, 2016 |
| Prisma Health Hospice of the Foothills |
Hospice | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Apr 1, 2019 Apr 1, 2019 |
| PH Pediatrics-Clemson |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Oct 1, 2016 Oct 1, 2016 |
| Prisma Health Laurens Family Med-Main |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Apr 1, 2019 Apr 1, 2019 |
| Prisma Health Laurens Family Med-Gray CT |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Oct 1, 2016 Oct 1, 2016 |
| PH Pediatrics-Seneca |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Oct 1, 2016 Oct 1, 2016 |
| Prisma Health Advanced Family Medicine |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Oct 1, 2016 Oct 1, 2016 |
| PH Family Medicine-Walhalla |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2019 |
| PH Seneca Medical Associates |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2019 |
| PH Mountain Lakes Family Medicine |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2019 |
| PH Family & Internal Medicine-Seneca |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2019 |
| PH Pediatrics-Powdersville |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2019 |
| PH Blue Ridge Women'S Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2019 |
| PH Primary Care Fountain Inn |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2019 |
| PH Premier Women'S Care |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2019 |
| PH Primary Care North Greenville |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2019 |
| PH Family Medicine-Powdersville |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161118001439 | SC | Part a Provider - Hospital | 5698063162 |
4 other NPIs on this enrollment Practice locations: Greenville, SC |
| O20161222000767 | SC | Part B Supplier - Clinic/Group Practice | 5698063162 |
Receives reassigned benefits from 438 practitioners 41 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Greenville, SC; Greer, SC; Seneca, SC; Simpsonville, SC; Spartanburg, SC; Travelers Rest, SC; Clinton, SC; Easley, SC |
National Provider Directory
- Tax ID family
- Upstate Affiliate Org
Locations
200 Patewood Dr
Greenville, SC 29615
Phone (864) 454-1148
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | HTL-0933 | SC | Yes |
Addresses
Primary practice location
200 Patewood Dr
Greenville, SC 29615-3593
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 455-7000
Other names
- Prisma Health Patewood Hospital
Other providers in Greenville, SC
- Prisma Health University Medical Group
- Prisma Health Urgent Care of South Carolina, PC
- Prisma Health-Upstate
- Prisma Health-Upstate
- Prisma Health-Upstate
- Prisma Health-Upstate
- Prisma Health-Upstate
- Prisma Health-Upstate
- Prisma Health-Upstate
- Prisma Health-Upstate
All providers in Greenville, SC · General Acute Care Hospital in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.