Amisub of South Carolina, Inc.
Organization Active NPI Psychiatric Hospital Unit · Rock Hill, SC
NPI 1932134384 · NPPES record last updated Sep 11, 2026
Key facts
- NPI
- 1932134384
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Hospital Unit 273R00000X
- License
- 417 (SC)
- Legal business name
- AMISUB OF SOUTH CAROLINA, INC.
- Practice address
- 222 S Herlong Ave
Rock Hill, SC 29732-1158 - Phone
- (803) 329-1234
- NPI assigned
- Jul 12, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- AMISUB OF SOUTH CAROLINA, INC.
Authorized official
- Name
- Angelo Pagano
- Title
- VP
- Phone
- (469) 893-2327
Parent organization (reported in NPPES) 1
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Related certifications (CCN) 1
Facilities with the same owner 91
Practitioners 5
-
Brian Mika, MD
-
Pamela J Ridley, APRN, BC
-
Jagdish Vallabhdas Shah, M.D.
-
Sushma Gunturu, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Hospital certification: CCN 42S002
- Legal name
- AMISUB OF SOUTH CAROLINA, INC.
- Doing business as
- PIEDMONT MEDICAL NETWORK
- Organization structure
- Corporation · Proprietary
- Incorporated
- Nov 20, 1980 in SC
- Enrollment address
- 222S Herlong Ave
Rock Hill, SC 29732-1158 - Hospital subgroups
- Psychiatric
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Teresa Urquhart |
Corporate Officer |
Aug 14, 2023 | |
| W-2 Managing Employee |
Aug 14, 2023 | ||
| Tenet Healthcare Corporation |
5% Or Greater Indirect Ownership Interest | Oct 13, 2009 | 100% |
| Angelo P Pagano |
Corporate Officer |
Jul 1, 2024 | |
| Saumya Sutaria |
Other |
Sep 13, 2019 | |
| Kristina a Mack |
Corporate Officer |
Jul 24, 2008 | |
| Tenet Healthsystem Medical, Inc. |
5% Or Greater Direct Ownership Interest | Oct 13, 2009 | 100% |
| Healthcare Network Holdings Inc |
5% Or Greater Indirect Ownership Interest | Oct 13, 2009 | 100% |
| Joshua Burkett |
Corporate Officer |
Oct 20, 2024 | |
| Todd Plott |
Corporate Director |
Apr 29, 2026 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091221000530 | SC | Part a Provider - Hospital | 8022116672 | Practice locations: Rock Hill, SC |
National Provider Directory
- Tax ID family
- Piedmont Medical Center
- Part of
- Piedmont Medical Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | 417 | SC | Yes |
Addresses
Primary practice location
222 S Herlong Ave
Rock Hill, SC 29732-1158
Mailing address
PO Box 740772
Atlanta, GA 30374-0772
Phone (803) 329-6730
Other names
- Piedmont Medical Center
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | PMC@Direct.Hub4.TenetHealth.com | Direct | |
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Other providers in Rock Hill, SC
- America'S Best Contacts & Eyeglasses
- American Current Care P.a .
- Amerita South Atlantic LLC
- Amiable Care Solutions, LLC
- Amisub of South Carolina, Inc.
- Rebecca Anand
- Parag Shashikant Anandpura
- Ashley Anderson
- Aubrey Anderson
- Bryan K Anderson
All providers in Rock Hill, SC · Psychiatric Hospital Unit in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.