Prisma Health-Upstate
NPI 1407301302ActiveOrganization· PACE Provider Organization· Greenville, SC
PACE Provider Organization in Greenville, South Carolina, registered in NPPES in August 2016. The authorized official on file is Polly Miller, Svp Fin-Enterprise Payor Contractin.
Overview
| NPI | 1407301302 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 20, 2016 |
| Last updated in NPPES | Jan 28, 2025 |
| Certified by provider | Jan 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| PACE Provider Organization Primary | 251T00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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