Individual provider Active NPI

Rodney Vaughn Harrison, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Columbia, SC
National Provider Identifier
1962448712
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
16296 Issued in SC
Practice address
300 Palmetto Health Pkwy Ste 400
Columbia, SC 29212-1764
Phone
(803) 434-3800
Fax
(803) 774-2759
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 16296 SC
Sleep Medicine (Internal Medicine) Physician 207RS0012X 16296 SC Primary

Addresses

Primary practice location

300 Palmetto Health Pkwy Ste 400
Columbia, SC 29212-1764

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other practice location 1

8 Richland Medical Park Dr
Suite 100
Columbia, SC 29203
Phone (803) 434-3800

Other identifiers 1

IdentifierTypeStateIssuer
162969MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080826000291 SC Practitioner - Sleep MedicinePractitioner - Cardiovascular Disease (Cardiology) 8527133545 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Cardiovascular Disease (Cardiology)
Education
University of South Carolina School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

8 Richland Medical Park Dr
Suite 100
Columbia, SC 29203-8006
Phone (803) 434-3800

Hospital & facility affiliations

  • Prisma Health Richland Hospital Hospital, Columbia, SC, CCN 420018
  • Prisma Health Baptist Hospital, Columbia, SC, CCN 420086
  • Prisma Health Baptist Parkridge Hospital, Columbia, SC, CCN 420106
  • Prisma Health Tuomey Hospital Hospital, Sumter, SC, CCN 420070
  • Musc Health Columbia Medical Center Downtown Hospital, Columbia, SC, CCN 420026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16296SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Tuomey Cardiovascular Disease CurrentSince Dec 15, 2020 Accepting new patients
Prisma Health Medical Group-Midlands Cardiovascular Disease CurrentSince Dec 2, 2016 Accepting new patients
Prisma Health-Midlands Current Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Dec 2, 2016 Accepting new patients
Palmetto Health Cardiovascular Disease CurrentSince Nov 1, 2011 Accepting new patients
Prisma Health-Midlands CurrentSince Nov 1, 2011 Accepting new patients
Prisma Health Medical Group-Midlands Current Accepting new patients
Prisma Health Tuomey CurrentSince Dec 15, 2020 Accepting new patients
Midlands Cardiology Associates Cardiovascular Disease PastSince Jan 12, 2023 Accepting new patients

Locations

300 Palmetto Health Pkwy
Ste 400
Columbia, SC 29212

8 Richland Medical Park Dr
Ste 100
Columbia, SC 29203

1330 Taylor St
Columbia, SC 29201
Phone (803) 296-5137

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

8 Richland Medical Park Dr
Ste 200
Columbia, SC 29203

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

129 N Washington St
Sumter, SC 29150
Phone (803) 774-1752

Interoperability endpoints

  • Direct secure messaging: rharrison53509@direct.ghs.myhfn.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1962448712",
    "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": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PALMETTO HEALTH PKWY STE 400",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292121764",
            "telephone_number": "803-434-3800",
            "fax_number": "803-774-2759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Richland Medical Park Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "29203",
            "country_code": "US",
            "telephone_number": "803-434-3800",
            "fax_number": "803-744-2759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "RODNEY",
        "middle_name": "VAUGHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "16296",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "SC",
            "license": "16296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162969",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.