NPIMap

Organization Active NPI

Prisma Health-Midlands

Doing business as Prisma Health Outpatient Pediatric Pulmonology

  • General Acute Care Hospital
  • Columbia, SC
National Provider Identifier
1508554452
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
PRISMA HEALTH-MIDLANDS
Doing business as
Prisma Health Outpatient Pediatric Pulmonology
Practice address
9 Richland Medical Park Dr Ste 505
Columbia, SC 29203-6844
Phone
(803) 434-2505
Fax
(803) 434-2181
NPI assigned
Apr 28, 2023
Last updated
Apr 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Polly H. Miller
Title
SVP Finance, Enterprise Contracting
Phone
(864) 522-2286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

9 Richland Medical Park Dr Ste 505
Columbia, SC 29203-6844

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8613

Other names 1

  • Prisma Health Outpatient Pediatric Pulmonology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080111000577 SC Part A Provider - Hospital 6800708330 6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Columbia, SC; Irmo, SC; Lexington, SC; Winnsboro, SC; Chapin, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508554452. Details of each certification follow.

Hospital certification: CCN 420018

Legal name
PRISMA HEALTH-MIDLANDS
Doing business as
PRISMA HEALTH RICHLAND HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 28, 2019
Beds
649
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Feb 8, 1998 in SC
Enrollment address
5 Richland Medical Park Dr
Columbia, SC 29203-6863
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Prisma Health Richland HospitalCCN 420018 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kristi a Lawrence Individual W-2 Managing EmployeeDirector, Provider Enrollment & Cvo Apr 5, 2020
Polly H Miller Individual Corporate OfficerSVP-Fin Enterprise Payor Contractin Mar 20, 2020
W-2 Managing EmployeeSVP-Fin Enterprise Payor Contractin Mar 20, 2020
Prisma Health-Midlands Organization, Columbia, SC Non-profit 5% Or Greater Direct Ownership Interest Jan 7, 2013 100%
Other Jan 7, 2013

Owners & managing parties with NPI records 12

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Prisma Health-Midlands

    dba Prisma Health Richland Hosptial

    • General Acute Care Hospital
    • Columbia, SC
    • NPI 1154373843

    5% Or Greater Direct Ownership Interest, Other

    CMS ownership
  • Prisma Health-Midlands

    dba Prisma Health Baptist Hospital

    • General Acute Care Hospital
    • Columbia, SC
    • NPI 1205889458

    5% Or Greater Direct Ownership Interest, Other

    CMS ownership
  • Prisma Health-Midlands

    dba Prisma Health Tuomey Home Health

    • Home Health Agency
    • Sumter, SC
    • NPI 1316086945

    5% Or Greater Direct Ownership Interest, Other

    CMS ownership
  • Prisma Health-Midlands

    dba Prisma Health Tuomey Hosptial

    • General Acute Care Hospital
    • Sumter, SC
    • NPI 1326043548

    5% Or Greater Direct Ownership Interest, Other

    CMS ownership
  • Prisma Health-Midlands

    dba Prisma Health Richland Springs Hospital

    • Psychiatric Hospital Unit
    • Columbia, SC
    • NPI 1326095324

    5% Or Greater Direct Ownership Interest, Other

    CMS ownership
  • Prisma Health-Midlands

    dba PH Family Medicine Winnsboro

    • Rural Health Clinic/Center
    • Winnsboro, SC
    • NPI 1376148502

    5% Or Greater Direct Ownership Interest, Other

    CMS ownership
  • Prisma Health-Midlands

    dba Prisma Health Behavioral Care

    • Behavioral Neurology & Neuropsychiatry Physician
    • Columbia, SC
    • NPI 1487078663

    5% Or Greater Direct Ownership Interest, Other

    CMS ownership
  • Prisma Health-Midlands

    dba PH Family Medicine-Bishopville

    • Rural Health Clinic/Center
    • Bishopville, SC
    • NPI 1497342471

    5% Or Greater Direct Ownership Interest, Other

    CMS ownership
  • Prisma Health-Midlands

    dba Prisma Health Behavioral Care

    • Psychiatric Hospital Unit
    • Columbia, SC
    • NPI 1598717316

    5% Or Greater Direct Ownership Interest, Other

    CMS ownership
  • Prisma Health-Midlands

    dba Prisma Health Hospice Midlands

    • Community Based Hospice Care Agency
    • Columbia, SC
    • NPI 1740398080

    5% Or Greater Direct Ownership Interest, Other

    CMS ownership
  • Prisma Health-Midlands

    dba Prisma Health Home Health

    • Home Health Agency
    • Columbia, SC
    • NPI 1760590954

    5% Or Greater Direct Ownership Interest, Other

    CMS ownership
  • Prisma Health-Midlands

    dba Prisma Health Baptist Parkridge Hospital

    • General Acute Care Hospital
    • Columbia, SC
    • NPI 1811237985

    5% Or Greater Direct Ownership Interest, Other

    CMS ownership

Practitioners & affiliated clinicians

Affiliated clinicians 1,367

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,367

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1508554452",
    "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": "864-522-8613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 RICHLAND MEDICAL PARK DR STE 505",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036844",
            "telephone_number": "803-434-2505",
            "fax_number": "803-434-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISMA HEALTH-MIDLANDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "POLLY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "SVP FINANCE, ENTERPRISE CONTRACTING",
        "authorized_official_telephone_number": "864-522-2286"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prisma Health Outpatient Pediatric Pulmonology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.