Organization Active NPI

Prisma Health-Midlands

  • Multi-Specialty Clinic/Center
  • Atlanta, GA
National Provider Identifier
1366515918
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
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-MIDLANDSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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
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

IdentifierTypeStateIssuer
MC0016OtherSCINHANCE FAMILY SUPPORT S

Other names 1

  • FAMILY SUPPORT SVCS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Markowitz and Associates105 organizations share this tax ID, including this one
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.

Verify at the official NPI Registry.