Prisma Health-Midlands

Organization Active NPI Certified Registered Nurse Anesthetist · Columbia, SC

NPI 1003327792 · NPPES record last updated Apr 14, 2020

Key facts

NPI
1003327792
Entity type
Organization (NPI type 2)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
Legal business name
PRISMA HEALTH-MIDLANDS
Practice address
5 Richland Medical Park Dr
Columbia, SC 29203-6863
Phone
(803) 296-2548
Fax
(803) 296-7950
NPI assigned
Oct 20, 2017
Organization subpart
No

Authorized official

Name
Polly H Miller
Title
VP Payor Strategies Alignment
Phone
(864) 522-2286

Other NPIs on the same Medicare enrollment 17

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 12

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 125

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 125

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031110000506 SC Part B Supplier - Clinic/Group Practice 6800708330 Receives reassigned benefits from 364 practitioners
17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Columbia, SC

National Provider Directory

Tax ID family
Markowitz and Associates (105 organizations share this tax ID)

Locations

5 Richland Medical Park Dr
Ste 470
Columbia, SC 29203

5 Richland Medical Park Dr
Columbia, SC 29203
Phone (803) 434-2168

400 Palmetto Health Pkwy
Ste 2137
Columbia, SC 29212

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist
Group: 193400000X SINGLE SPECIALTY GROUP
367500000X SC Yes

Addresses

Primary practice location

5 Richland Medical Park Dr
Columbia, SC 29203-6863

Mailing address

PO Box 744244
Atlanta, GA 30374-4244
Phone (803) 454-2600

Other names

  • Prisma Health Columbia CRNA Services Doing business as

Other providers in Columbia, SC

All providers in Columbia, SC · Certified Registered Nurse Anesthetist in South Carolina

Sources for this page

Verify at the official NPI Registry.