Active NPI
Augustine Health Group, LLC
- Internal Medicine Physician
- Columbia, SC
National Provider Identifier
1093966400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 22699
- Legal business name
- AUGUSTINE HEALTH GROUP, LLC
- Practice address
- 2701 Middleburg Drive
Columbia, SC 29204 - Phone
- (803) 254-2786
- Fax
- (803) 254-9015
- NPI assigned
- Oct 3, 2008
- Organization subpart
- Yes
- Parent organization
- AUGUSTINE HEALTH GROUP, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Haithcock
- Title
- Project Manager
- Phone
- (803) 865-4780
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 22699 | SC | Primary |
Addresses
Primary practice location
2701 Middleburg Drive
Columbia, SC 29204
Mailing address
114 Gateway Corporate Blvd.
Suite #425
Columbia, SC 29203
Phone (803) 865-4780
Other names 1
- Associates in Internal Medicine
National Provider Directory
National Provider Directory- Part of
- Bradley a Clayton MD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326240000000",
"number": "1093966400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 GATEWAY CORPORATE BLVD.",
"address_2": "SUITE #425",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29203",
"telephone_number": "803-865-4780",
"fax_number": "803-865-4932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 MIDDLEBURG DRIVE",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29204",
"telephone_number": "803-254-2786",
"fax_number": "803-254-9015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUGUSTINE HEALTH GROUP, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AUGUSTINE HEALTH GROUP, LLC",
"enumeration_date": "2008-10-03",
"last_updated": "2012-01-11",
"status": "A",
"authorized_official_last_name": "HAITHCOCK",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "PROJECT MANAGER",
"authorized_official_telephone_number": "803-865-4780"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "SC",
"license": "22699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Associates in Internal Medicine",
"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 Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.