NPIMap

Organization Active NPI

Prisma Health Tuomey

Doing business as Prisma Health Tuomey ARU Professional

  • Physical Medicine & Rehabilitation Physician
  • Sumter, SC
National Provider Identifier
1841773983
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PRISMA HEALTH TUOMEY
Doing business as
Prisma Health Tuomey ARU Professional
Practice address
129 N Washington St
Sumter, SC 29150-4949
Phone
(803) 774-9000
NPI assigned
Sep 14, 2018
Last updated
Feb 15, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
PRIMSA 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X Primary

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 identifiers 2

IdentifierTypeStateIssuer
HTL-0927OtherSCDHEC
6628OtherSCTHE JOINT COMMISSION

Other names 1

  • Prisma Health Tuomey ARU Professional Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181203000212 SC Part B Supplier - Clinic/Group Practice 2163728528 Receives reassigned benefits from 7 practitioners
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).

National Provider Directory

National Provider Directory
Tax ID family
Prisma Health Tuomey3 organizations share this tax ID, including this one
Part of
Prisma Health Tuomey

Other organizations with this tax ID 2

Organizations that report the same tax identification number 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 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613347200000",
    "number": "1841773983",
    "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": "PRIMSA HEALTH TUOMEY",
        "enumeration_date": "2018-09-14",
        "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": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHEC",
            "identifier": "HTL-0927",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE JOINT COMMISSION",
            "identifier": "6628",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prisma Health Tuomey ARU Professional",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prisma Health Tuomey ARU Professional",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.