PRISMA HEALTH MEDICAL GROUP-MIDLANDS NPI 1275988321

NPI Information

NPI: 1275988321
Provider Name: PRISMA HEALTH MEDICAL GROUP-MIDLANDS

Other Name: PH MEDICAL GROUP MIDLANDS

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
3555 HARDEN STREET EXT STE 300
COLUMBIA, SC
ZIP 29203
Phone: (803) 545-5000
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PRISMA HEALTH MEDICAL GROUP-MIDLANDS is a multi-specialty clinic center in Columbia, SC. PRISMA HEALTH MEDICAL GROUP-MIDLANDS NPI is 1275988321. 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:

3555 HARDEN STREET EXT STE 300
COLUMBIA, SC
ZIP 29203-894
Phone: (803) 545-5000

The provider's authorized official is Kristi Lawrence .
The authorized official title is Director-provider Enrollment and has the following contact phone number (864) 522-8611.

The enumeration date for this NPI number is 4/26/2016 and was last updated on 5/5/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist			SOUTH CAROLINA	No
2	152W00000X	Optometrist			SOUTH CAROLINA	No
3	207P00000X	Emergency Medicine			SOUTH CAROLINA	No
4	207Q00000X	Family Medicine			SOUTH CAROLINA	No
5	207R00000X	Internal Medicine			SOUTH CAROLINA	No
6	207V00000X	Obstetrics & Gynecology			SOUTH CAROLINA	No
7	207W00000X	Ophthalmology			SOUTH CAROLINA	No
8	207X00000X	Orthopaedic Surgery			SOUTH CAROLINA	No
9	208000000X	Pediatrics			SOUTH CAROLINA	No
10	2084N0400X	Psychiatry & Neurology	Neurology		SOUTH CAROLINA	No
11	2084P0800X	Psychiatry & Neurology	Psychiatry		SOUTH CAROLINA	No
12	208600000X	Surgery			SOUTH CAROLINA	No
13	208800000X	Urology			SOUTH CAROLINA	No
14	208VP0000X	Pain Medicine	Pain Medicine		SOUTH CAROLINA	No
15	261QM1300X	Clinic/Center	Multi-Specialty	160413-0189	SOUTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GP7530	MEDICAID	SOUTH CAROLINA
2	DA9495	MEDICAID	SOUTH 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

NPI Synchronization or Removal

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