Prisma Health-Upstate
Organization Active NPI General Acute Care Hospital · Greer, SC
NPI 1982150009 · NPPES record last updated Feb 5, 2021
Key facts
- NPI
- 1982150009
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- HTL-0934 (SC)
- Legal business name
- PRISMA HEALTH-UPSTATE
- Practice address
- 830 S Buncombe Rd
Greer, SC 29650-2400 - Phone
- (864) 797-8000
- 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
Facilities with the same owner 26
Practitioners 63
-
Shelley Smith Anderson, CRNA
-
Katelyn Craigo, N.P.
-
Jennifer Webb George, CRNA
-
Fahima Shehady Heninger, CRNA
-
Jamie Ann Hootman, CRNA
-
Tracy Lynette Lance, M.D.
-
Tara Leigh Langston, M.D.
-
Ronald P. Laskowski, M.D.
-
Katherine Gradie Lovvorn, CRNA
-
Keith Steven Nall, M.D.
-
Matthew Bradley Neal, M.D.
-
Holly M Oloughlin, CRNA
-
Megan Meredith Puckett, CRNA
-
Sarah Caroline Rustin, M.D.
-
James F Schmidt, CRNA
-
Allyson Jane Clarke Sicilia, C.R.N.A.
-
Steven Wickers, CRNA
Affiliated clinicians 895
-
John Robert Absher, M.D.
-
John David Adams Jr., M.D.
-
Murat Akyildiz, MD
-
Stormie Albrecht, NP
-
Jay Alden, DO
-
Judson Alderman, M.D.
-
Louise Anne Alexander, M.D.
-
Thelma Claire Alleyne, M.D.
-
Joseph Thomas Anderson, M.D.
-
Mohammad Tariq Ansari, M.D.
-
Randy Applefeld, MD
-
Sallie Ruth Areford, M.D.
Medicare Care Compare: Hospital
- Listed as
- Prisma Health Greer Memorial Hospital
- Overall star rating
- ★★★★★ 5 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 (2 enrollments) in SC
Hospital certification: CCN 420033
- Legal name
- PRISMA HEALTH-UPSTATE
- Doing business as
- PRISMA HEALTH GREER MEMORIAL HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- May 22, 2023
- Beds
- 82
- 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
- 830 S Buncombe Rd
Greer, SC 29650-2400 - 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 | 100% | |
| Polly H Miller |
Corporate Officer |
Mar 20, 2020 | 100% |
| W-2 Managing Employee |
Mar 20, 2020 | 100% | |
| Operational/Managerial Control |
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 27
| 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 Patewood Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
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 |
|---|---|---|---|---|
| O20161031000808 | SC | Part a Provider - Hospital | 5698063162 |
3 other NPIs on this enrollment Practice locations: Greer, SC; Spartanburg, 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | HTL-0934 | SC | Yes |
Addresses
Primary practice location
830 S Buncombe Rd
Greer, SC 29650-2400
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 455-7000
Other names
- Prisma Health Greer Memorial Hospital
NPI Registry JSON
{
"created_epoch": "1472428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612483200000",
"number": "1982150009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-455-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 S BUNCOMBE RD",
"city": "GREER",
"state": "SC",
"postal_code": "296502400",
"telephone_number": "864-797-8000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRISMA HEALTH-UPSTATE",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-29",
"last_updated": "2021-02-05",
"certification_date": "2021-02-05",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "POLLY",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "VP PAYOR STRATEGIES & ALIGNMENT",
"authorized_official_telephone_number": "864-522-2286"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "SC",
"license": "HTL-0934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Prisma Health Greer Memorial Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Greer, SC
- Brianna Lashay Prioleau
- Prisma Health University Medical Group
- Prisma Health-Upstate
- Prisma Health-Upstate
- Prisma Health-Upstate
- Proactive MD SC,P.a.
- Professional Pharmacy at Mt View in
- Professional Pharmacy at Mt. View, Inc
- Professional Pharmacy of Greer, Inc
- Professional Pharmacy of Greer, Inc
All providers in Greer, 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 Feb 5, 2021. 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.