PRISMA HEALTH MIDLANDS (NPI# 1487078663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487078663 |
| Entity Type | Organization |
| Organization Name | PRISMA HEALTH MIDLANDS |
| Other Organization Name | PRISMA HEALTH BEHAVIORAL CARE |
| Practice Address |
720 Gracern Rd Suite 120 Columbia SC 29210-7655 |
| Mailing Address |
Po Box 402145 Atlanta GA 30384-2145 |
| Practice Telephone | 8032962585 |
| Practice Fax Number | 8035511254 |
| Mailing Telephone | 8032967305 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2020-04-15 |
| Authorized Official Name | POLLY H MILLER (VP PAYOR STRATEGIES ALIGNMENT) |
| Authorized Official Telephone | 8645222286 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP6416 | 05 |
| Other Name | Type Code |
|---|---|
| Palmetto Health Behavioral Care | Doing Business As Name - Organization |
| Prisma Health Behavioral Care | Doing Business As Name - Organization |
| Street Address |
720 GRACERN RD SUITE 120 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29210-7655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760441133 | Samy Tawfik | Specialist | 720 Gracern Rd, Suite 120, Columbia, SC 29210-7655 | 2006-03-22 |
| 1558712059 | John Charles Matthews | Pharmacist | 720 Gracern Rd, Suite 123, Columbia, SC 29210-7655 | 2016-06-26 |
| 1134541345 | Paolina Szemraj | Speech-Language Pathologist | 720 Gracern Rd, Suite 450, Columbia, SC 29210-7655 | 2014-01-08 |
| 1205257540 | Lindsay Gantt | Speech-Language Pathologist | 720 Gracern Rd, Suite 450, Columbia, SC 29210-7655 | 2014-01-03 |
| 1679906457 | Robin Vassey | Specialist/Technologist | 720 Gracern Rd, Suite 450, Columbia, SC 29210-7655 | 2013-08-15 |
| 1871925594 | Bright Start LLC | Specialist/Technologist | 720 Gracern Rd, Suite 450, Columbia, SC 29210-7655 | 2013-08-05 |
| 1952651085 | Lila Williams Almond | Speech-Language Pathologist | 720 Gracern Rd, Suite 450, Columbia, SC 29210-7655 | 2012-09-17 |
| 1447515507 | Palmetto Autism Interventions, LLC | Behavioral Analyst | 720 Gracern Rd, 450, Columbia, SC 29210-7655 | 2012-07-05 |
| 1750698031 | Bright Start, LLC | Speech-Language Pathologist | 720 Gracern Rd, Suite 450, Columbia, SC 29210-7655 | 2010-09-08 |
| 1407097579 | Kathryn Ann Hogan | Speech-Language Pathologist | 720 Gracern Rd, Suite 450, Columbia, SC 29210-7655 | 2009-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413838 | Alexis Koreema Brown | Social Worker | 3205 Montcrest Rd., Columbia, SC 29210 | 2020-03-26 |
| 1942767843 | Thomas Edwin Cromer | Social Worker | 409 Evelyn Drive, Columbia, SC 29210 | 2019-02-27 |
| 1184193542 | Helen Hoffman Coleman | Pharmacist | 16 Berryhill Road, Ste 109, Columbia, SC 29210 | 2018-11-15 |
| 1356828040 | Latia Kelly Mcdonald | Counselor | 105 Beth Hope Lane, Columbia, SC 29210 | 2018-07-25 |
| 1356892848 | Butterfly Effects LLC | Community/Behavioral Health | 1607 Bentley Court, Columbia, SC 29210 | 2016-10-19 |
| 1114373651 | Lilian Emetu | Nurse Practitioner | 822 Statler Road, Columbia, SC 29210 | 2016-05-13 |
| 1154776433 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 507 Piney Grove Rd, Columbia, SC 29210 | 2016-04-25 |
| 1790167690 | Wanda Al-lahabi | Specialist | 1030 St. Andrews Rd., Suite B-3, Columbia, SC 29210 | 2015-06-26 |
| 1285040279 | Debra R. Smart | Counselor | 652 Bush Road, Suite 216, Columbia, SC 29210 | 2014-07-10 |
| 1144665282 | Snf Transportation LLC | Home Health | 810 Dutch Center Blvd, Columbia, SC 29210 | 2013-05-02 |
| Find all providers in zip 29210 | ||||
| Taxonomy Code | 2084B0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Behavioral Neurology & Neuropsychiatry |
| Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |
| Notes: Source: National Uniform Claim Committee. [1/1/2012: new] Additional Resources: American Academy of Neurology, www.aan.com. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700014248 | Christina Pitts Lynn | Psychiatry & Neurology | 3612 Landmark Dr, Columbia, SC 29204-4039 | 2009-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033429568 | Debra Ann Bjork | Psychiatry & Neurology | 3965 Fish Hatchery Rd, Gaston, SC 29053-9038 | 2010-10-18 |
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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.