Active NPI
New Vision Health Group, LLC
- Clinical Medical Laboratory
- Columbia, SC
National Provider Identifier
1417819004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- NEW VISION HEALTH GROUP, LLC
- Practice address
- 1901 Blanding St Apt a
Columbia, SC 29201-3581 - Phone
- (803) 806-7736
- Fax
- (803) 306-6676
- NPI assigned
- Dec 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristle M Garrett, BPH, CCRC
- Title
- Owner/President
- Phone
- (704) 920-8093
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1901 Blanding St Apt a
Columbia, SC 29201-3581
Mailing address
1901 Blanding St Apt a
Columbia, SC 29201-3581
Phone (803) 806-7736
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2334642 | New Vision Health Group, LLC | Certificate of waiver | Nov 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
1901 Blanding St
Apt A
Columbia, SC 29201
Phone (803) 779-8303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764633600000",
"number": "1417819004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 BLANDING ST APT A",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292013581",
"telephone_number": "803-806-7736",
"fax_number": "803-306-6676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 BLANDING ST APT A",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292013581",
"telephone_number": "803-806-7736",
"fax_number": "803-306-6676"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW VISION HEALTH GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-02",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A",
"authorized_official_last_name": "GARRETT",
"authorized_official_first_name": "KRISTLE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "704-920-8093",
"authorized_official_credential": "BPH, CCRC"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.