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

Taylor Petree

Individual provider Physician Assistant · NPI 1134780794

Taylor Petree is a Physician Assistant in Greenville, South Carolina. Qualified in 2019, 7 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan and South Carolina.

Years since qualifying
7
Licensed in
MI, SC
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

701 Grove Rd Fl 5
Greenville, SC 29605-4210
Phone: (864) 455-4411
Fax: (864) 455-4480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 47601 Grand River Ave, Novi, MI 48374-1233 — (248) 465-4100
  • 1254 Leanne Ct, Kennedale, TX 76060-6036 — (817) 658-1001

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5289 (SC)
Physician Assistant Taxonomy 363A00000X · Licence 5601009837 (MI)

Record details

NPI number1134780794
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 25, 2019
Last updated in NPPESJuly 29, 2024
Certification dateJuly 29, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
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 Greenville