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

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