NPIMap

Organization Active NPI

Augustine Health Group LLC

Doing business as Providence Womens Health

  • Obstetrics & Gynecology Physician
  • Columbia, SC
National Provider Identifier
1821051392
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
21388 Issued in SC
Legal business name
AUGUSTINE HEALTH GROUP LLC
Doing business as
Providence Womens Health
Practice address
114 Gateway Corp Blvd
Suite 350 Augustine Health Group LLC
Columbia, SC 29203-9802
Phone
(803) 865-4780
Fax
(803) 865-4932
NPI assigned
Apr 7, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mrs. Lisa B Ham, CPA
Title
MGR General Accounting
Phone
(803) 865-4583

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25087 SC
Obstetrics & Gynecology Physician 207V00000X 21388 SC Primary

Addresses

Primary practice location

114 Gateway Corp Blvd
Suite 350 Augustine Health Group LLC
Columbia, SC 29203-9802

Mailing address

114 Gateway Corp Blvd
Suite 425
Columbia, SC 29203-9802
Phone (803) 865-4780

Other names 1

  • Providence Womens Health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1821051392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 GATEWAY CORP BLVD",
            "address_2": "SUITE 425",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292039802",
            "telephone_number": "803-865-4780",
            "fax_number": "803-865-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 GATEWAY CORP BLVD",
            "address_2": "SUITE 350 AUGUSTINE HEALTH GROUP LLC",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292039802",
            "telephone_number": "803-865-4780",
            "fax_number": "803-865-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTINE HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HAM",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MGR GENERAL ACCOUNTING",
        "authorized_official_telephone_number": "803-865-4583",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "25087",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "21388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Womens Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 20, 2008; 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.