NPIMap

Organization Active NPI

Prisma Health-Midlands

Doing business as Diabetes Educations Richland

  • Multi-Specialty Clinic/Center
  • Columbia, SC
National Provider Identifier
1053492280
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PRISMA HEALTH-MIDLANDS
Doing business as
Diabetes Educations Richland
Prisma Health Diabetes Education
Practice address
9 Medical Park Suite 205
Palmetto Health Richland Diabetes Education
Columbia, SC 29203-6863
Phone
(803) 296-2548
Fax
(803) 296-3040
NPI assigned
Oct 17, 2006
Last updated
May 19, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
PRISMA HEALTH-MIDLANDSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2021

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
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

9 Medical Park Suite 205
Palmetto Health Richland Diabetes Education
Columbia, SC 29203-6863

Mailing address

Prisma Health Diabetes Education Attn: Karla K. Powell
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (803) 296-2548

Other identifiers 2

IdentifierTypeStateIssuer
20029656OtherSCSELECT HEALTH GRP
DEP012OtherSCINHANCE MEDICAID GRP

Other names 2

  • Diabetes Educations Richland Doing business as
  • Prisma Health Diabetes Education Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northeast Family Practi105 organizations share this tax ID, including this one
Part of
Northeast Family Practi

Organizations with this tax ID in the same state 19

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

View all 19

Locations

9 Richland Medical Park Dr
Columbia, SC 29203
Phone (803) 434-7606

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1053492280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PRISMA HEALTH DIABETES EDUCATION ATTN: KARLA K. POWELL",
            "address_2": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "803-296-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MEDICAL PARK SUITE 205",
            "address_2": "PALMETTO HEALTH RICHLAND DIABETES EDUCATION",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036863",
            "telephone_number": "803-296-2548",
            "fax_number": "803-296-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISMA HEALTH-MIDLANDS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRISMA HEALTH-MIDLANDS",
        "enumeration_date": "2006-10-17",
        "last_updated": "2021-05-19",
        "certification_date": "2021-04-30",
        "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": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH GRP",
            "identifier": "20029656",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INHANCE MEDICAID GRP",
            "identifier": "DEP012",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diabetes Educations Richland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Diabetes Educations Richland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prisma Health Diabetes Education",
            "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 May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.