Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Corrinna J M O'Bannon

Individual provider Acute Care Nurse Practitioner · NPI 1508045808

Corrinna J M O'Bannon is a Nurse Practitioner in Greenville, South Carolina. Qualified in 2005, 21 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
21
Licensed in
SC
In the registry since
2007
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Practice location Address checks out

1005 Grove Rd
Greenville, SC 29605-4630
Phone: (864) 455-6900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 2844 (SC)

Record details

NPI number1508045808
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 2, 2007
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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