Prisma Health Medical Group-Midlands
Organization Active NPI Multi-Specialty Clinic/Center · Columbia, SC
NPI 1275988321 · NPPES record last updated May 5, 2021
Key facts
- NPI
- 1275988321
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- License
- 160413-0189 (SC)
- Legal business name
- PRISMA HEALTH MEDICAL GROUP-MIDLANDS
- Practice address
- 3555 Harden Street Ext Ste 300
Columbia, SC 29203-6894 - Phone
- (803) 545-5000
- NPI assigned
- Apr 26, 2016
- Organization subpart
- No
Authorized official
- Name
- Kristi Lawrence
- Title
- Director-Provider Enrollment
- Phone
- (864) 522-8611
Other NPIs on the same Medicare enrollment 7
Other NPIs with the same Medicare PAC ID 1
Practitioners 1,721
-
Richard Davant Adams, M.D.
-
Divya Ahuja, MD
-
Majdi N Al-Hasan, MD
-
Carol B Alan, MD
-
Helmut Albrecht, M.D.
-
Kathleen Godbey Albrecht, M.D.
-
Andrea Alicia Alexander, WHNP
-
Aimee Heather Aline, MSN, FNP-C
-
Rachel Ahn Allan, MD
-
Kari-Claudia M Allen, M.D.
-
Wilbur Lynn Allen, M.D.
-
Dwayne Randolph Alleyne, ACNPC
-
Catherine Nicole Allgrim, ACNP
-
James Ryan Altman, M.D.
-
James Oware Ampadu, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160802001226 | SC | Part B Supplier - Clinic/Group Practice | 5991099707 |
Receives reassigned benefits from 1,594 practitioners 7 other NPIs on this enrollment |
| O20230911002097 | SC | DME Supplier - Physician - Optometrist | 5991099707 | Practice locations: Columbia, SC |
National Provider Directory
Locations (25 of 34)
206 Centre South Blvd
Aiken, SC 29803
Phone (803) 642-9204
7 Richland Medical Park Dr
Ste 2150
Columbia, SC 29203
9 Richland Medical Park Dr
Ste 505
Columbia, SC 29203
Phone (803) 434-2505
9 Richland Medical Park Dr
Ste 430
Columbia, SC 29203
Phone (803) 434-3560
100 Palmetto Health Pkwy
Ste 250
Columbia, SC 29212
Phone (803) 407-3857
300 Palmetto Health Pkwy
Ste 200
Columbia, SC 29212
Phone (803) 434-4790
1 Richland Medical Park Dr
Ste 300
Columbia, SC 29203
Phone (803) 434-7910
14 Richland Medical Park Dr
Ste 100
Columbia, SC 29203
Phone (803) 434-1260
8 Richland Medical Park Dr
Ste 4
Columbia, SC 29203
2 Medical Park Rd
Lowr
Columbia, SC 29203
Phone (803) 434-6812
3 Richland Medical Park Dr
Ste 100
Columbia, SC 29203
Phone (803) 424-2208
1301 Taylor St
Ste 8A
Columbia, SC 29201
Phone (803) 299-1922
100 Palmetto Health Pkwy
Ste 100
Columbia, SC 29212
Phone (803) 407-6767
3600 Forest Dr
Ste 300
Columbia, SC 29204
Phone (803) 749-5101
1333 Taylor St
Ste 5F
Columbia, SC 29201
Phone (803) 733-9598
1801 Sunset Dr
#200
Columbia, SC 29203
1801 Sunset Dr
Ste 200
Columbia, SC 29203
Phone (803) 434-3020
9 Richland Medical Park Dr
Columbia, SC 29203
Phone (803) 434-7606
3 Richland Medical Park Dr
Ste 510
Columbia, SC 29203
Phone (803) 296-2726
3010 Farrow Rd
Ste 300A
Columbia, SC 29203
Phone (803) 434-4388
9 Richland Medical Park Dr
Ste 400
Columbia, SC 29203
Phone (803) 434-7703
1301 Taylor St
Ste 7A
Columbia, SC 29201
Phone (803) 254-6391
7 Richland Medical Park Dr
Ste 215
Columbia, SC 29203
Phone (803) 434-3533
4311 Hard Scrabble Rd
Columbia, SC 29229
Phone (803) 419-6334
1333 Taylor St
Ste 3J
Columbia, SC 29201
Phone (803) 296-7350
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | SC | ||
| Optometrist |
152W00000X | SC | ||
| Emergency Medicine Physician |
207P00000X | SC | ||
| Family Medicine Physician |
207Q00000X | SC | ||
| Internal Medicine Physician |
207R00000X | SC | ||
| Obstetrics & Gynecology Physician |
207V00000X | SC | ||
| Ophthalmology Physician |
207W00000X | SC | ||
| Orthopaedic Surgery Physician |
207X00000X | SC | ||
| Pediatrics Physician |
208000000X | SC | ||
| Neurology Physician |
2084N0400X | SC | ||
| Psychiatry Physician |
2084P0800X | SC | ||
| Surgery Physician |
208600000X | SC | ||
| Urology Physician |
208800000X | SC | ||
| Pain Medicine Physician |
208VP0000X | SC | ||
| Multi-Specialty Clinic/Center | 261QM1300X | 160413-0189 | SC | Yes |
Addresses
Primary practice location
3555 Harden Street Ext Ste 300
Columbia, SC 29203-6894
Mailing address
PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 296-7033
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP7530 | Medicaid | SC | |
| DA9495 | Medicaid | SC |
Other names
- PH Medical Group Midlands
Other providers in Columbia, SC
- Prisma Health Medical Group-Midlands
- Prisma Health Medical Group-Midlands
- Prisma Health Medical Group-Midlands
- Prisma Health Medical Group-Midlands
- Prisma Health Medical Group-Midlands
- Prisma Health Medical Group-Midlands
- Prisma Health Medical Group-Midlands
- Prisma Health Medical Group-Midlands
- Prisma Health Medical Group-Midlands
- Prisma Health Medical Group-Midlands
All providers in Columbia, SC · Multi-Specialty Clinic/Center in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.