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

Prisma Health-Upstate

Organization Developmental Disabilities Clinic/Center · NPI 1336695436

Prisma Health-Upstate is a Developmental Disabilities Clinic/Center in Greenville, South Carolina. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

29 N Academy St
Greenville, SC 29601-2629
Phone: (864) 331-1350
Show map & directions

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

Specialties & licences

Developmental Disabilities Clinic/Center (primary) Taxonomy 261QD1600X

Record details

NPI number1336695436
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Polly Miller — Vp Payor Strategies & Alignment · (864) 522-2286
Other names Prisma Health Kidnetics-Medicaid
NPI enumeratedAugust 29, 2016
Last updated in NPPESFebruary 4, 2021
Certification dateFebruary 4, 2021
Mailing address300 E McBee Ave Fl 4, Greenville, SC 29601-2842

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