Prisma Health University Medical Group
Developmental - Behavioral Pediatrics
Prisma Health University Medical Group is a Greenville, South Carolina based Pediatric center with medical specialization in
Developmental - Behavioral Pediatrics. Prisma Health University Medical Group is doing business as
University Medical Group.
It is located at
200 Patewood Dr, Suite A200, Greenville, South Carolina - 29615-3593. They can be contacted on phone at
864-454-5115.
NPI number (Unique professional ID) for Prisma Health University Medical Group is
1578890273 which was assigned by NPPES on 17 Nov, 2009 and it was last updated on 15 May, 2020.
Prisma Health University Medical Group is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Complete Profile:
Prisma Health University Medical Group basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Developmental - Behavioral Pediatrics |
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| Provider Name : | Prisma Health University Medical Group |
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| Other Name : | University Medical Group |
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Business Address:
Prisma Health University Medical Group address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 200 Patewood Dr, Suite A200
Greenville, SC, 29615-3593
United States |
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| Phone Number : | 864-454-5115 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1578890273 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 17 Nov, 2009 |
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| Last Updated On : | 15 May, 2020 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Kristiann Lawrence |
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| Official Title or Position : | DIRECTOR PROVIDER ENROLLMENT |
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| Phone Number : | 864-797-6118 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Prisma Health University Medical Group are as mentioned. Primary taxonomy code for Prisma Health University Medical Group is
2080P0006X (Pediatrics Developmental - Behavioral Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0006X | Pediatrics Developmental - Behavioral Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Prisma Health University Medical Group such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| DEC300 | MEDICAID | SC | |
| DRC010 | MEDICAID | SC | |
| 20032744 | Other | SC | SELECT HEALTH ID NUMBER |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 7 Independence Pt Ste 140
Greenville, SC, 29615-4550
United States |
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| Phone Number : | 864-385-4790 |
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Business Location:
Patients can refer following map for directions to
Prisma Health University Medical Group practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.