Prisma Health-Upstate
Organization Active NPI General Acute Care Hospital · Easley, SC
NPI 1669951364 · NPPES record last updated Aug 27, 2025
Key facts
- NPI
- 1669951364
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- PRISMA HEALTH-UPSTATE
- Practice address
- 1807A E Main St
Easley, SC 29640 - Phone
- (864) 442-7482
- Fax
- (864) 306-7977
- NPI assigned
- Aug 13, 2018
- Organization subpart
- No
Authorized official
- Name
- Polly H. Miller
- Title
- SVP Finance, Enterprise Contracting
- Phone
- (864) 522-2286
Other NPIs on the same Medicare enrollment 4
Affiliated clinicians 584
-
Wesley Matthew Abadie, M.D.
-
John David Adams Jr., M.D.
-
Murat Akyildiz, MD
-
Zahid Ali, MD
-
Thelma Claire Alleyne, M.D.
-
Joseph Thomas Anderson, M.D.
-
Mohammad Tariq Ansari, M.D.
-
Siddesha Arashinagundi, M.D.
-
Carlos Arturo Arias, PA-C
-
Juanita Maria Aviles, APRN
-
Aftab A Awan, MD
-
Joseph R Baber, DO
-
Graceanna Baker, APRN, FNP
-
Collis L Barksdale, M.D.
Medicare Care Compare: Hospital
- Listed as
- Prisma Health Baptist Easley Hospital
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Hospital certification: CCN 420015
- Legal name
- PRISMA HEALTH-UPSTATE
- Doing business as
- PRISMA HEALTH BAPTIST EASLEY HOSPITAL O/P THERAPY SERVICES
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- May 13, 2021
- Beds
- 109
- Ownership / control type
- Private (not for profit)
- Most recent change of ownership
- Oct 1, 2018 (4 total)
- Organization structure
- Other · Non-profit
- Incorporated
- Apr 1, 2019 in SC
- Enrollment address
- 200 Fleetwood Dr
Easley, SC 29640-2022 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Kristi a Lawrence |
Corporate Director |
Apr 5, 2020 | 100% |
| W-2 Managing Employee | Apr 5, 2020 | ||
| Polly H Miller |
Corporate Officer |
Mar 20, 2020 | 100% |
| W-2 Managing Employee | Mar 20, 2020 | ||
| Operational/Managerial Control | Mar 20, 2020 | ||
| Prisma Health-Upstate |
5% Or Greater Direct Ownership Interest | Oct 1, 2018 | 100% |
| Operational/Managerial Control | Oct 1, 2018 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181126001379 | SC | Part a Provider - Hospital | 5698063162 |
4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Greenville, SC; Easley, SC |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| General Acute Care Hospital | 282N00000X | Yes |
Addresses
Primary practice location
1807A E Main St
Easley, SC 29640
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8613
Other names
- Prisma Health Baptist Easley Hospital O/P Services
Other providers in Easley, SC
- Presbyterian Communities of South Carolina
- Prevent Child Abuse Pickens County
- Prisma Health University Medical Group
- Prisma Health University Medical Group
- Prisma Health-Upstate
- Prisma Health-Upstate
- Prisma Health-Upstate
- Teresa M Pritchett
- Procare RX Inc
- Progrin Dental of Powdersville, LLC
All providers in Easley, 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 Aug 27, 2025. 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.