AUGUSTINE HEALTH GROUP, LLC (NPI# 1639375199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639375199 |
| Entity Type | Organization |
| Organization Name | AUGUSTINE HEALTH GROUP, LLC |
| Other Organization Name | PROVIDENCE PSYCHIATRIC CONSULTS |
| Practice Address |
114 Gateway Corporate Blvd Suite 425 Columbia SC 29203-9740 |
| Mailing Address |
Po Box 60496 Charlotte NC 28260-0496 |
| Practice Telephone | 8032565300 |
| Mailing Telephone | 8032565300 |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2008-04-29 |
| Authorized Official Name | MR. JEREMY W. WHITAKER (MANAGER) |
| Authorized Official Telephone | 8068654798 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
19523 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP4739 | 05 |
| Other Name | Type Code |
|---|---|
| Providence Psychiatric Consults | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790114197 | Augustine Health Group, LLC | Family Medicine | 110 Dutchman Blvd, Irmo, SC 29063-8330 | 2013-11-06 |
| 1093966400 | Augustine Health Group, LLC | Internal Medicine | 2701 Middleburg Drive, Columbia, SC 29204 | 2008-10-03 |
| 1750401451 | Augustine Health Group, LLC | Family Medicine | 300 Long Pointe Ln, Suite 130, Columbia, SC 29229-7543 | 2007-03-29 |
| 1578830279 | Augustine Health Group, LLC | General Practice | 2351 Augusta Hwy, Lexington, SC 29072-2213 | 2011-11-23 |
| 1639463771 | Augustine Health Group, LLC | Family Medicine | 190 Knox Abbott Dr, Suite 3-c, Cayce, SC 29033-4348 | 2011-06-07 |
| 1871887919 | Augustine Health Group, LLC | Internal Medicine | 2601 Laurel St, Suite 230, Columbia, SC 29204-2033 | 2011-06-07 |
| 1144523051 | Augustine Health Group, LLC | Internal Medicine | 114 Gateway Corporate Blvd, Suite 330, Columbia, SC 29203-9740 | 2010-12-15 |
| 1881903938 | Augustine Health Group, LLC | Specialist | 108 Palmetto Park Blvd, Lexington, SC 29072-7968 | 2010-10-06 |
| 1780998161 | Augustine Health Group, LLC | Internal Medicine | 2601 Laurel St, Suite 120, Columbia, SC 29204-2033 | 2010-07-28 |
| 1548466006 | Augustine Health Group, LLC | Internal Medicine | 2435 Forest Dr, Columbia, SC 29204-2026 | 2007-06-22 |
| Street Address |
114 GATEWAY CORPORATE BLVD SUITE 425 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-9740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689644221 | Eric Steven Spotts | Obstetrics & Gynecology | 114 Gateway Corporate Blvd, Suite 350, Columbia, SC 29203-9740 | 2006-01-25 |
| 1093253254 | Midlands Orthopaedics and Neurosurgery, Pa | Orthopaedic Surgery | 114 Gateway Corporate Blvd, Suite 110, Columbia, SC 29203-9740 | 2017-02-08 |
| 1366980591 | Midlands Orthopaedics and Neurosurgery, Pa | Durable Medical Equipment & Medical Supplies | 114 Gateway Corporate Blvd, Suite 110, Columbia, SC 29203-9740 | 2017-02-08 |
| 1033657275 | Midlands Orthopaedics and Neurosurgery, Pa | Neurological Surgery | 114 Gateway Corporate Blvd, Suite 110, Columbia, SC 29203-9740 | 2017-02-08 |
| 1811448517 | Arcis Healthcare | Durable Medical Equipment & Medical Supplies | 114 Gateway Corporate Blvd, Suite 110, Columbia, SC 29203-9740 | 2016-10-18 |
| 1770943631 | Providence Physician Practices LLC | Internal Medicine | 114 Gateway Corporate Blvd, Ste 425, Columbia, SC 29203-9740 | 2016-03-04 |
| 1437521259 | Arcis Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 114 Gateway Corporate Blvd, Suite 110, Columbia, SC 29203-9740 | 2015-10-21 |
| 1447632989 | Lori Uhrig | Physical Therapist | 114 Gateway Corporate Blvd, Columbia, SC 29203-9740 | 2015-06-21 |
| 1265814701 | Gretchen Zimmerman Tarrance | Occupational Therapist | 114 Gateway Corporate Blvd, Columbia, SC 29203-9740 | 2015-06-21 |
| 1437531944 | Lyle Oamil | Physical Therapist | 114 Gateway Corporate Blvd, Columbia, SC 29203-9740 | 2015-06-19 |
| Find all providers in the same location | ||||
| 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 | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275822249 | Palmetto Psychiatry Consultants, LLC | Psychiatry & Neurology | 6515 Eastshore Rd, Columbia, SC 29206-2213 | 2011-03-30 |
| 1003086638 | Anasseril E Daniel | Psychiatry & Neurology | 33 E Broadway Ste 115, Columbia, MO 65203-4207 | 2008-03-11 |
| 1700918562 | Jamae Cherie Mcdermott | Psychiatry & Neurology | 15 Medical Park, Suite 141, University Specialty Clinics-neuropsychiatry & Behavior, Columbia, SC 29203-6894 | 2007-03-09 |
| 1568482545 | Thomas Victor Martin | Psychiatry & Neurology | 1330 Richland St, Columbia, SC 29201-2522 | 2006-07-20 |
| 1710947460 | Kaustubh Girish Joshi | Psychiatry & Neurology | 3555 Harden Street Ext Ste 301, University of South Carolina School of Medicine, Columbia, SC 29203-6894 | 2006-03-26 |
| 1487142097 | Palmetto Health - University of South Carolina Medical Group | Psychiatry & Neurology | 3555 Harden Street Ext Ste 141, Columbia, SC 29203-6894 | 2018-04-30 |
| 1659660736 | Jennifer Alleyne | Psychiatry & Neurology | 7901 Farrow Rd, Columbia, SC 29203-3220 | 2011-03-29 |
| 1841409760 | Jeffrey D Raynor | Psychiatry & Neurology | 11 Richland Medical Park Dr, Columbia, SC 29203-6863 | 2007-05-21 |
| 1508996281 | Michael James Ferlauto | Psychiatry & Neurology | 1800 Colonial Dr, Columbia, SC 29203-6827 | 2007-03-06 |
| 1659419869 | Bradley Allen Clayton | Psychiatry & Neurology | 2435 Forest Dr, Columbia, SC 29204-2026 | 2007-02-01 |
| Find all providers in COLUMBIA | ||||
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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.