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

Nickolas Grant Smith

Individual provider Family Nurse Practitioner · NPI 1710517370

Nickolas Grant Smith is a Nurse Practitioner in Seneca, South Carolina. Qualified in 2019, 7 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
7
Licensed in
SC
In the registry since
2020
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Practice location Address checks out

390 Keowee School Rd
Seneca, SC 29672-6780
Phone: (864) 885-7129
Fax: (864) 882-7240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 701 Grove Rd, Greenville, SC 29605-4210 — (864) 455-3287

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 23620 (SC)

Record details

NPI number1710517370
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 23, 2020
Last updated in NPPESMarch 4, 2024
Certification dateMarch 4, 2024
Mailing address300 E McBee Ave Fl 4, Greenville, SC 29601-2842

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Seneca