NPIMap

Organization Active NPI

Prisma Health Midlands

  • Geriatric Medicine (Internal Medicine) Physician
  • Columbia, SC
National Provider Identifier
1962471946
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
PRISMA HEALTH MIDLANDS
Practice address
3010 Farrow Rd Ste 300
Columbia, SC 29203-7606
Phone
(803) 434-1210
Fax
(803) 434-1212
NPI assigned
Mar 14, 2006
Organization subpart
Yes
Parent organization
PRISMA HEALTH-MIDLANDSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Authorized official

Name
Polly H Miller
Title
VP-Fin Enterpriser Payor Contractin
Phone
(864) 522-2286

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X SC Primary
Critical Access Hospital 282NC0060X SC

Addresses

Primary practice location

3010 Farrow Rd Ste 300
Columbia, SC 29203-7606

Mailing address

3010 Farrow Rd
Suite 300
Columbia, SC 29203-7607
Phone (803) 434-1210

Other identifiers 1

IdentifierTypeStateIssuer
GP1537MedicaidSC

Other names 1

  • Prisma Health Senior Primary Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080111000577 SC Part A Provider - Hospital 6800708330 6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Columbia, SC; Irmo, SC; Lexington, SC; Winnsboro, SC; Chapin, SC

Hospital certification: CCN 420018

Legal name
PRISMA HEALTH-MIDLANDS
Doing business as
PRISMA HEALTH RICHLAND HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 28, 2019
Beds
649
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Feb 8, 1998 in SC
Enrollment address
5 Richland Medical Park Dr
Columbia, SC 29203-6863
Main/Primary Hospital Location
Hospital subgroups
Acute care

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

Other NPIs on the same Medicare enrollment 6

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Prisma Health Richland HospitalCCN 420018
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D0923322Prisma Health Senior Primary Care3010 Farrow Rd Suite 300, Columbia, SC 29203Certificate of waiverOct 5, 2026

National Provider Directory

National Provider Directory
Part of
Markowitz and Associates

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, Provider Enrollment & Cvo Apr 5, 2020
Polly H Miller Individual Corporate OfficerSVP-Fin Enterprise Payor Contractin Mar 20, 2020
W-2 Managing EmployeeSVP-Fin Enterprise Payor Contractin Mar 20, 2020
Prisma Health-Midlands Organization, Columbia, SC Non-profit 5% Or Greater Direct Ownership Interest Jan 7, 2013 100%
Other Jan 7, 2013

Owners & managing parties with NPI records 12

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1,367

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

View all 1,367

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1962471946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 FARROW RD",
            "address_2": "SUITE 300",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292037607",
            "telephone_number": "803-434-1210",
            "fax_number": "803-434-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 FARROW RD STE 300",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292037606",
            "telephone_number": "803-434-1210",
            "fax_number": "803-434-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISMA HEALTH MIDLANDS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRISMA HEALTH-MIDLANDS",
        "enumeration_date": "2006-03-14",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "POLLY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "VP-FIN ENTERPRISER PAYOR CONTRACTIN",
        "authorized_official_telephone_number": "864-522-2286"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "SC",
            "license": null,
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "SC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1537",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prisma Health Senior Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.