NPIMap

Organization Active NPI

Prisma Health-Midlands

Doing business as Prisma Health Columbia CRNA Services

  • Certified Registered Nurse Anesthetist
  • Columbia, SC
National Provider Identifier
1003327792
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
PRISMA HEALTH-MIDLANDS
Doing business as
Prisma Health Columbia CRNA Services
Practice address
5 Richland Medical Park Dr
Columbia, SC 29203-6863
Phone
(803) 296-2548
Fax
(803) 296-7950
NPI assigned
Oct 20, 2017
Last updated
Apr 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X SC Primary

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 1

  • Prisma Health Columbia CRNA Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

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

Other NPIs on the same Medicare enrollment 17

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

View all 17

National Provider Directory

National Provider Directory
Tax ID family
Palmetto Health105 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

400 Palmetto Health Pkwy
#1
Columbia, SC 29212

Practitioners & affiliated clinicians

Practitioners 125

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

  • Brian P. Alexander
    • Certified Registered Nurse Anesthetist
    • Greenville, SC
    • NPI 1588717540

    Nurse Anesthetist, Certified Registered

    NPD
  • Christina Amick, CRNA
    • Certified Registered Nurse Anesthetist
    • Greenville, SC
    • NPI 1992371165

    Nurse Anesthetist, Certified Registered

    NPD
  • Elizabeth Coleman Baker, CRNA
    • Certified Registered Nurse Anesthetist
    • Columbia, SC
    • NPI 1679145627

    Nurse Anesthetist, Certified Registered

    NPD
  • Andrea Banks, CRNA
    • Certified Registered Nurse Anesthetist
    • Greenville, SC
    • NPI 1558600338

    Nurse Anesthetist, Certified Registered

    NPD
  • Kimberly H Barringer, CRNA
    • Certified Registered Nurse Anesthetist
    • Greenville, SC
    • NPI 1689947392

    Nurse Anesthetist, Certified Registered

    NPD
  • Melinda Irene Bellamy, RN
    • Certified Registered Nurse Anesthetist
    • Greenville, SC
    • NPI 1932378130

    Nurse Anesthetist, Certified Registered

    NPD
  • Elizabeth McKoy Bemis, CRNA
    • Certified Registered Nurse Anesthetist
    • Columbia, SC
    • NPI 1093085516

    Nurse Anesthetist, Certified Registered

    NPD
  • Samantha Bido
    • Certified Registered Nurse Anesthetist
    • Greenville, SC
    • NPI 1265070908

    Nurse Anesthetist, Certified Registered

    NPD
  • Deborah Elizabeth Bledsoe, CRNA
    • Certified Registered Nurse Anesthetist
    • Columbia, SC
    • NPI 1437478732

    Nurse Anesthetist, Certified Registered

    NPD
  • James Tyler Boggs
    • Certified Registered Nurse Anesthetist
    • Greenville, SC
    • NPI 1790351054

    Nurse Anesthetist, Certified Registered

    NPD
  • Erin Marie Bond, CRNA
    • Certified Registered Nurse Anesthetist
    • Columbia, SC
    • NPI 1467876102

    Nurse Anesthetist, Certified Registered

    NPD
  • Jessica Cruz Bradley
    • Certified Registered Nurse Anesthetist
    • Greenville, SC
    • NPI 1972957652

    Nurse Anesthetist, Certified Registered

    NPD
View all 125

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1003327792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744244",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744244",
            "telephone_number": "803-454-2600",
            "fax_number": "803-765-1732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 RICHLAND MEDICAL PARK DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036863",
            "telephone_number": "803-296-2548",
            "fax_number": "803-296-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISMA HEALTH-MIDLANDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-20",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "POLLY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "VP PAYOR STRATEGIES ALIGNMENT",
        "authorized_official_telephone_number": "864-522-2286"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prisma Health Columbia CRNA Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prisma Health Columbia CRNA Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.