NPIMap

Organization Active NPI

Prisma Health-Midlands

Doing business as Prisma Health Baptist Parkridge Hospital

  • General Acute Care Hospital
  • Columbia, SC
National Provider Identifier
1811237985
Registry record updated Jul 7, 2022
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 Baptist Parkridge Hospital
Practice address
400 Palmettto Health Parkway
Columbia, SC 29212-1760
Phone
(803) 296-2548
Fax
(803) 296-2548
NPI assigned
Feb 26, 2013
Last updated
Jul 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

400 Palmettto Health Parkway
Columbia, SC 29212-1760

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (803) 296-2548

Other names 1

  • Prisma Health Baptist Parkridge Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031110000506 SC Part B Supplier - Clinic/Group Practice 6800708330 Receives reassigned benefits from 364 practitioners
17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Columbia, SC
O20140321000010 SC Part A Provider - Hospital 6800708330 Practice locations: Columbia, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811237985. Details of each certification follow.

Hospital certification: CCN 420106

Legal name
PRISMA HEALTH-MIDLANDS
Doing business as
PRISMA HEALTH BAPTIST PARKRIDGE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Apr 28, 2014
Last certification
Feb 17, 2023
Beds
76
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Feb 9, 1998 in SC
Enrollment address
400 Palmetto Health Parkway
Columbia, SC 29212-1760
Main/Primary Hospital Location
Hospital subgroups
General

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

Other NPIs with the same Medicare PAC ID 11

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

Other NPIs on the same Medicare enrollment 17

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

View all 17

Care Compare: Hospital

Medicare Care Compare
Listed as
Prisma Health Baptist ParkridgeCCN 420106 · All quality measures
Overall star rating
4 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

Locations

400 Palmetto Health Pkwy
Ste 100
Columbia, SC 29212

400 Palmetto Health Pkwy
Ste 2137
Columbia, SC 29212

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 of Enrollment Apr 5, 2020 100%
Polly H Miller Individual Corporate OfficerSVP Finance Enterprise, Contracting Mar 20, 2020 100%
W-2 Managing EmployeeSVP Finance Enterprise, Contracting Mar 20, 2020
Prisma Health-Midlands Organization, Columbia, SC Non-profit Operational/Managerial Control Jan 14, 2014 100%
Other Jan 14, 2014

Owners & managing parties with NPI records 11

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

All facility ownership & control disclosures 10

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

FacilityTypeRoleSince
Prisma Health Baptist HospitalColumbia, SC, CCN 420086 Hospital Operational/Managerial Control (100%)
Other		 Apr 1, 2019
Apr 1, 2019
Prisma Health Richland HospitalColumbia, SC, CCN 420018 Hospital 5% Or Greater Direct Ownership Interest (100%)
Other		 Jan 7, 2013
Jan 7, 2013
Prisma Health Richland SpringsColumbia, SC, CCN 42S018 Hospital Operational/Managerial Control
Other		 Sep 26, 1993
Sep 26, 1993
Prisma Health Tuomey HospitalColumbia, SC, CCN 42S086 Hospital Operational/Managerial Control
Other		 Oct 1, 1990
Oct 1, 1990
Prisma Health Tuomey HospitalSumter, SC, CCN 420070 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2025
Prisma Health Home HealthColumbia, SC, CCN 427013 Home health agency Operational/Managerial Control (100%) Jan 1, 2007
Prisma Health Tuomey Home HealthSumter, SC, CCN 427078 Home health agency Other Jan 1, 2016
Prisma Health Tuomey HospiceSumter, SC, CCN 421509 Hospice Operational/Managerial Control
Other		 Jan 1, 2016
Jan 1, 2016
PH Family Medicine WinnsboroWinnsboro, SC, CCN 423496 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
PH Family Medicine-BishopvilleBishopville, SC, CCN 423497 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019

Owned or controlled facilities with NPI records 17

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

View all 17

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 47

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 47

Affiliated clinicians 582

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

View all 582

NPI Registry JSON

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1811237985",
    "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": "803-296-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PALMETTTO HEALTH PARKWAY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292121760",
            "telephone_number": "803-296-2548",
            "fax_number": "803-296-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISMA HEALTH-MIDLANDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "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 Baptist Parkridge Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prisma Health Baptist Parkridge Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.