Organization Active NPI

New Vision Health Group, LLC

  • Clinical Medical Laboratory
  • Columbia, SC
National Provider Identifier
1417819004
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Dec 2, 2025

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2334642New Vision Health Group, LLC1901 Blanding Street Suite a, Columbia, SC 29201Certificate of waiverNov 24, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.