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

Prisma Health-Upstate

Organization Rural Health Clinic/Center · NPI 1205414828

Prisma Health-Upstate is a Rural Health Clinic/Center in Fountain Inn, South Carolina. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

200 N Nelson Dr
Fountain Inn, SC 29644
Phone: (864) 522-6270
Fax: (864) 522-6275
Show map & directions

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

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X

Record details

NPI number1205414828
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Polly Miller — Vp, Payor Strategies & Alignment · (864) 522-2286
Other names Prisma Health Primary Care Fountain Inn; Prisma Health Primary Care Fountain Inn
NPI enumeratedApril 2, 2021
Last updated in NPPESApril 22, 2022
Certification dateApril 22, 2022
Mailing address300 E McBee Ave Fl 4, Greenville, SC 29601-2842