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

Madison Ann-Nicole Pelfrey

Individual provider Physician Assistant · NPI 1710719737

Madison Ann-Nicole Pelfrey is a Physician Assistant in Greenville, South Carolina. Qualified in 2024, 2 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
2
Licensed in
SC
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

200 Patewood Dr Ste B400
Greenville, SC 29615-6306
Phone: (864) 454-4368
Fax: (864) 241-9232
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 101 Elm Ave Se, Roanoke, VA 24013-2222 — (540) 985-8483

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5691 (SC)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1710719737
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 19, 2024
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Greenville