Provider Type Icon

PRISMA HEALTH MEDICAL GROUP-MIDLANDS NPI 1255852901


NPI Information

NPI: 1255852901
Provider Name: PRISMA HEALTH MEDICAL GROUP-MIDLANDS

Other Name: PH MEDICAL GROUP MIDLANDS

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
100 PALMETTO HEALTH PKWY STE 320
COLUMBIA, SC
ZIP 29212
Phone: (803) 296-9200
Get Directions

PRISMA HEALTH MEDICAL GROUP-MIDLANDS is a durable medical equipment medical supplies in Columbia, SC. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PRISMA HEALTH MEDICAL GROUP-MIDLANDS NPI is 1255852901. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Ph Medical Group Midlands.

The provider's business location address is:

100 PALMETTO HEALTH PKWY STE 320
COLUMBIA, SC
ZIP 29212-756
Phone: (803) 296-9200
Fax: (803) 296-9697

The provider's authorized official is Kristi Lawrence .
The authorized official title is Director-provider Enrollment and has the following contact phone number (864) 385-4790.

The enumeration date for this NPI number is 7/3/2017 and was last updated on 1/30/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XX0004XOrthopaedic SurgeryFoot and Ankle SurgerySOUTH CAROLINANo
2207X00000XOrthopaedic SurgerySOUTH CAROLINANo
3207XS0106XOrthopaedic SurgeryHand SurgerySOUTH CAROLINANo
4332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DE3874OTHERSOUTH CAROLINADME MEDICAID
27660520002OTHERSOUTH CAROLINADME MEDICARE PTAN
3GP8162MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.