PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP (NPI# 1134619638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134619638 |
| Entity Type | Organization |
| Organization Name | PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP |
| Practice Address |
9 Richland Medical Park Dr Ste 230 Columbia SC 29203-6859 |
| Mailing Address |
Po Box 743904 Atlanta GA 30374-3904 |
| Practice Telephone | 8034347990 |
| Practice Fax Number | 8034344669 |
| Mailing Telephone | 8032967320 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-10 |
| Authorized Official Name | WILLIAM D. ANDERSON III, (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 8035455005 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP7530 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245720747 | Palmetto Health - University of South Carolina Medical Group | Urology | 9 Richland Medical Park Dr Ste 420, Columbia, SC 29203-6870 | 2018-05-10 |
| 1295224871 | Palmetto Health - University of South Carolina Medical Group | Nurse Practitioner | 2113 Adams Grv Ste 200, Columbia, SC 29203-6957 | 2018-05-09 |
| 1235614462 | Palmetto Health - University of South Carolina Medical Group | Family Medicine | 116 Hospital Sq, Bishopville, SC 29010-7081 | 2018-10-03 |
| 1295211894 | Palmetto Health - University of South Carolina Medical Group | Family Medicine | 115 N Sumter St Ste 315, Sumter, SC 29150-4967 | 2018-07-17 |
| 1619468774 | Palmetto Health - University of South Carolina Medical Group | Surgery | 1850 Laurel St, Columbia, SC 29201-2627 | 2018-05-24 |
| 1164913224 | Palmetto Health - University of South Carolina Medical Group | Internal Medicine | 3 Richland Medical Park Dr Ste 510, Columbia, SC 29203-6854 | 2018-05-24 |
| 1437649936 | Palmetto Health - University of South Carolina Medical Group | Pediatrics | 14 Richland Medical Park Dr Ste 400, Columbia, SC 29203-6878 | 2018-05-10 |
| 1154811651 | Palmetto Health - University of South Carolina Medical Group | Surgery | 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 | 2018-05-10 |
| 1144710641 | Palmetto Health - University of South Carolina Medical Group | Pediatrics | 9 Richland Medical Park Drive, Suite 260, Columbia, SC 29203 | 2018-05-10 |
| 1235629734 | Palmetto Health - University of South Carolina Medical Group | Pediatrics | 14 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6883 | 2018-05-10 |
| Street Address |
9 RICHLAND MEDICAL PARK DR STE 230 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-6859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972681096 | Whitney Winn Brown | Pediatrics | 9 Richland Medical Park Dr Ste 230, Columbia, SC 29203 | 2006-11-02 |
| 1568758761 | Bhavana Narala | Pediatrics | 9 Richland Medical Park Dr Ste 230, Columbia, SC 29203-6859 | 2011-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083843346 | Kiran S Choudhry | Pediatrics | 402 N Keene St, Ste 101, Columbia, MO 65201-6986 | 2009-07-08 |
| 1235227901 | Amie Margett Vanmorlan | Pediatrics | 404 N Keene St, Columbia, MO 65201-6626 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306399415 | Alva Lawton Strickland | Pediatrics | 10 Comfort Pt, Saint Helena Island, SC 29920-5739 | 2016-07-26 |
| 1114287596 | Kristal Anne Matlock | Pediatrics | 171 Ashley Ave, Charleston, SC 29425 | 2012-05-21 |
| 1932436631 | Prisma Health University Medical Group | Pediatrics | 200 Patewood Dr, Suite A200, Greenville, SC 29615-3593 | 2009-11-17 |
| 1922335629 | Ghs Partners In Health, Inc. | Pediatrics | 200 Patewood Dr, Suite A200, Greenville, SC 29615-3593 | 2009-11-17 |
| 1245466879 | Melissa Dawn Garganta | Pediatrics | 200 Patewood Dr, Suite A320, Greenville, SC 29615-3593 | 2009-06-10 |
| 1962655860 | University Medical Associates | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-10-23 |
| 1639335573 | Eileen A. Baez-irizarry | Pediatrics | 101 Johns St, Suite 420, Florence, SC 29506-2777 | 2008-07-30 |
| 1205037702 | Tarina Marlene Mendes | Pediatrics | 207 Main St, Seneca, SC 29678-3245 | 2007-05-30 |
| 1730267857 | Elaine Moreland Apperson | Pediatrics | 200 Patewood Dr, Suite A320, Greenville, SC 29615-3593 | 2006-11-02 |
| 1417065376 | Deborah Anne Bowlby | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.