NPIMap

Organization Active NPI

Prisma Health-Midlands

Doing business as Prisma Health Private Services

  • Voluntary or Charitable Agency
  • Columbia, SC
National Provider Identifier
1114031564
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
PRISMA HEALTH-MIDLANDS
Doing business as
Prisma Health Private Services
Practice address
1400 Pickens St
Columbia, SC 29201-3465
Phone
(803) 296-3100
Fax
(803) 296-3319
NPI assigned
Aug 19, 2006
Last updated
Apr 14, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
PRISMA HEALTH-MIDLANDSAs reported in NPPES

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
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

1400 Pickens St
Columbia, SC 29201-3465

Mailing address

PO Box 7275
Columbia, SC 29202-7275
Phone (803) 296-3100

Other identifiers 2

IdentifierTypeStateIssuer
EX0691MedicaidSC
MC0014MedicaidSC

Other names 1

  • Prisma Health Private Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Karla.powell@prismahealth.org Direct

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 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1114031564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7275",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292027275",
            "telephone_number": "803-296-3100",
            "fax_number": "803-296-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PICKENS ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013465",
            "telephone_number": "803-296-3100",
            "fax_number": "803-296-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISMA HEALTH-MIDLANDS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRISMA HEALTH-MIDLANDS",
        "enumeration_date": "2006-08-19",
        "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": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX0691",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MC0014",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Karla.powell@prismahealth.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1400 Pickens St",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292013465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Prisma Health Private 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.