Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prisma Health University Medical Group

Organization Nurse Practitioner · NPI 1053786483

Prisma Health University Medical Group is a Nurse Practitioner in Greenville, South Carolina. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
4

Practice location Address checks out

712 Grove Rd
Greenville, SC 29605-4211
Phone: (864) 455-9349
Fax: (864) 522-1428
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Adult Health Nurse Practitioner Taxonomy 363LA2200X
Family Nurse Practitioner Taxonomy 363LF0000X
Gerontology Nurse Practitioner Taxonomy 363LG0600X

Record details

NPI number1053786483
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristi Lawrence — Director Provider Enrollment · (864) 385-4790
Other names University Medical Group/Mobile Health Clinic; University Medical Group/Mobile Health Clinic
NPI enumeratedDecember 10, 2015
Last updated in NPPESJune 24, 2025
Certification dateJune 24, 2025
Mailing address300 E McBee Ave Fl 4, Greenville, SC 29601-2842

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