Prisma Health Medical Group-Midlands

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRISMA HEALTH MEDICAL GROUP-MIDLANDS

Practice address

100 N Sumter St Ste 200
Sumter, SC 29150-4975

Phone

(803) 774-7621

Fax

(803) 774-1791

NPI assigned

Apr 27, 2018

Last updated

Jan 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristi Lawrence

Title

Director-Provider Enrollment

Phone

(864) 385-4790

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• PH Medical Group Midlands Other name

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1518455252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743904",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743904",
            "telephone_number": "803-296-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N SUMTER ST STE 200",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504975",
            "telephone_number": "803-774-7621",
            "fax_number": "803-774-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISMA HEALTH MEDICAL GROUP-MIDLANDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-27",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "DIRECTOR-PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "864-385-4790"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP8575",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PH Medical Group Midlands",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Meighan Price
• Chelsea Nicole Prince
• Jennifer Marie Prince
• Margaret Prince, PHARMD
• Prisma Health Medical Group-Midlands
• Prisma Health Medical Group-Midlands
• Prisma Health Tuomey
• Prisma Health Tuomey (Prisma Health Tuomey CRNAs Services)
• Prisma Health Tuomey (Prisma Health Tuomey Infusion Center)
• Prisma Health Tuomey (Prisma Health Emergency Physicans Tuomey)

• Durable Medical Equipment & Medical Supplies in Sumter, SC
• Providers in Sumter, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.