NPIMap

Organization Active NPI

Prisma Health-Midlands

Doing business as PH Diabetes Self Care MGT Program

  • Multi-Specialty Clinic/Center
  • Columbia, SC
National Provider Identifier
1174604201
Registry record updated Jan 14, 2025
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
PH Diabetes Self Care MGT Program
Practice address
1301 Taylor St Ste 3Q
Columbia, SC 29201-2942
Phone
(803) 296-3070
Fax
(803) 296-3040
NPI assigned
Oct 17, 2006
Last updated
Jan 14, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PRISMA HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Polly H Miller
Title
SVP Finance/Enterprise Contracting
Phone
(864) 522-2286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1301 Taylor St Ste 3Q
Columbia, SC 29201-2942

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (803) 296-2548

Other names 1

  • PH Diabetes Self Care MGT Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Palmetto OBGYN Associates105 organizations share this tax ID, including this one
Part of
Palmetto OBGYN Associates

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

Locations

1301 Taylor St
Ste 3Q
Columbia, SC 29201
Phone (803) 296-3070

Interoperability endpoints

  • FHIR API: https://epicproxy.et0915.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/82b5c78e-3511-4091-8bf4-9b7dbe078f0c/

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1736812800000",
    "number": "1174604201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "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": "1301 TAYLOR ST STE 3Q",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012942",
            "telephone_number": "803-296-3070",
            "fax_number": "803-296-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISMA HEALTH-MIDLANDS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRISMA HEALTH",
        "enumeration_date": "2006-10-17",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "POLLY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "SVP FINANCE/ENTERPRISE CONTRACTING",
        "authorized_official_telephone_number": "864-522-2286"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PH Diabetes Self Care MGT Program",
            "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 14, 2025; 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.