Active NPI
Prisma Health-Midlands
- Multi-Specialty Clinic/Center
- Atlanta, GA
National Provider Identifier
1366515918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- PRISMA HEALTH-MIDLANDS
- Practice address
- Palmetto Health
Atlanta, GA 30384 - Phone
- (803) 296-2548
- Fax
- (803) 296-3040
- NPI assigned
- Nov 15, 2006
- Organization subpart
- Yes
- Parent organization
- PRISMA HEALTH-MIDLANDS
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
Palmetto Health
Atlanta, GA 30384
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (803) 296-2548
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MC0016 | Other | SC | INHANCE FAMILY SUPPORT S |
Other names 1
- FAMILY SUPPORT SVCS
National Provider Directory
National Provider Directory- Tax ID family
- Markowitz and Associates
- Part of
- Markowitz and Associates
Locations
Palmetto Health
Atlanta, GA 30384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613606400000",
"number": "1366515918",
"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": "PALMETTO HEALTH",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30384",
"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": "2006-11-15",
"last_updated": "2021-02-18",
"certification_date": "2021-02-18",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INHANCE FAMILY SUPPORT S",
"identifier": "MC0016",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FAMILY SUPPORT SVCS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.