PROVIDENCE GROUP PRACTICES II LLC NPI 1396192001

NPI Information

  • NPI: 1396192001
  • Provider Name: PROVIDENCE GROUP PRACTICES II, LLC
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Organization
  • Doing Business As: PROVIDENCE HEART
  • Address: 1655 BERNARDIN AVE
    STE 220
    COLUMBIA, SC
    ZIP 29204
  • Phone: (803) 409-7170

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NPI Details

PROVIDENCE GROUP PRACTICES II, LLC is an interventional cardiology internal medicine in Columbia, SC. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. PROVIDENCE GROUP PRACTICES II, LLC NPI is 1396192001. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Providence Heart.

The provider's business location address is:

1655 BERNARDIN AVE
STE 220
COLUMBIA, SC
ZIP 29204-039
Phone: (803) 409-7170
Fax: (803) 409-7175

The provider's authorized official is Kathy Teague .
The authorized official title is AVP, CORPORATE SECRETARYCorporate Secretary and has the following contact phone number (615) 920-7000.

The enumeration date for this NPI number is 5/23/2016 and was last updated on 11/23/2020.

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
1207RC0000XInternal MedicineCardiovascular DiseaseNo
2207RI0011XInternal MedicineInterventional CardiologyYes
3207UN0901XNuclear MedicineNuclear CardiologyNo

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: 11/21/2025

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