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Organization Active NPI

Prisma Health Tuomey

Doing business as Prisma Health Emergency Physicans Tuomey

  • Emergency Medicine Physician
  • Sumter, SC
National Provider Identifier
1548625593
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
PRISMA HEALTH TUOMEY
Doing business as
Prisma Health Emergency Physicans Tuomey
Practice address
129 N Washington St
Sumter, SC 29150-4949
Phone
(803) 774-9000
NPI assigned
Dec 17, 2015
Last updated
Feb 15, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
PRISMA HEALTH TUOMEYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 15, 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary
Cardiovascular Disease Physician 207RC0000X

Addresses

Primary practice location

129 N Washington St
Sumter, SC 29150-4949

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 455-7000

Other names 1

  • Prisma Health Emergency Physicans Tuomey Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160310001016 SC Part B Supplier - Clinic/Group Practice 2163728528 Receives reassigned benefits from 111 practitioners
1 other NPI on this enrollment
Practice locations: Sumter, SC

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Part of
Prisma Health Tuomey

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Prisma Health Tuomey Home HealthSumter, SC, CCN 427078 Home health agency 5% Or Greater Direct Ownership Interest
Operational/Managerial Control (100%)		 Jan 1, 2016
Jan 1, 2016
Prisma Health Tuomey HospiceSumter, SC, CCN 421509 Hospice Operational/Managerial Control (100%)
Other		 Jan 1, 2016
Jan 1, 2016

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Prisma Health-Midlands

    dba Prisma Health Tuomey Home Health

    • Home Health Agency
    • Sumter, SC
    • NPI 1316086945

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Prisma Health-Midlands

    dba Prisma Health Tuomey Hospice

    • Community Based Hospice Care Agency
    • Sumter, SC
    • NPI 1962541599

    Operational/Managerial Control, Other

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 111

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 111

NPI Registry JSON

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613347200000",
    "number": "1548625593",
    "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": "864-455-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N WASHINGTON ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504949",
            "telephone_number": "803-774-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISMA HEALTH TUOMEY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRISMA HEALTH TUOMEY",
        "enumeration_date": "2015-12-17",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "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": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prisma Health Emergency Physicans Tuomey",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.