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

Dr. Theodore Matthew Eison, MD

Individual provider Pediatric Nephrology Physician · NPI 1184773582

Dr. Theodore Matthew Eison, MD is a Pediatric Medicine in Greenville, South Carolina. Graduated from Medical University of South Carolina College of Medicine in 2000, 26 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group and accepts Medicare assignment. Licensed in South Carolina and Tennessee.

Years since qualifying
26
Trained at
Medical University of South Carolina College of Medicine
Licensed in
SC, TN
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 Patewood Dr Ste A115
Greenville, SC 29615-3547
Phone: (864) 454-5105
Fax: (864) 454-5689
Show map & directions

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

Specialties & licences

Pediatric Nephrology Physician (primary) Taxonomy 2080P0210X · Licence 35122 (SC)
Pediatric Nephrology Physician Taxonomy 2080P0210X · Licence 42534 (TN)

Record details

NPI number1184773582
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 9, 2007
Last updated in NPPESMarch 22, 2018

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2000 (26 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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