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

Liubou Grigoryevna Simonovich, PA

Individual provider Physician Assistant · NPI 1376942425

Liubou Grigoryevna Simonovich, PA is a Physician Assistant in Greenville, South Carolina. Qualified in 2014, 12 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
12
In the registry since
2014
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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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 (1)

  • Taylor At Marion Street, Columbia, SC 29220-0001 — (803) 434-6771

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1376942425
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 14, 2014
Last updated in NPPESJanuary 25, 2023
Certification dateJanuary 25, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Prisma Health Greer Memorial Hospital Hospital · Spartanburg, SC

Colleagues at Prisma Health University Medical Group

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 2446 clinicians in the practice; 12 are shown here.

Other providers in Greenville