PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP (NPI# 1912496597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912496597 |
| Entity Type | Organization |
| Organization Name | PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP |
| Practice Address |
9 Richland Medical Park Dr Ste 110 Columbia SC 29203-6859 |
| Mailing Address |
Po Box 743904 Atlanta GA 30374-3904 |
| Practice Telephone | 8034347961 |
| Practice Fax Number | 8034347981 |
| Mailing Telephone | 8032967320 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |
| 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 |
|---|---|---|---|---|---|
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
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 |
| 1134619638 | Palmetto Health - University of South Carolina Medical Group | Pediatrics | 9 Richland Medical Park Dr Ste 230, Columbia, SC 29203-6859 | 2018-05-10 |
| Street Address |
9 RICHLAND MEDICAL PARK DR STE 110 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-6859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669455911 | Srinadh O Rao | Pediatrics | 9 Richland Medical Park Dr Ste 110, Columbia, SC 29203 | 2005-11-21 |
| 1205325883 | Palmetto Health - University of South Carolina Medical Group | Pediatrics | 9 Richland Medical Park Dr Ste 110, Columbia, SC 29203-6859 | 2018-05-09 |
| 1174072755 | Leah Mitchell | Nurse Practitioner | 9 Richland Medical Park Dr Ste 110, Columbia, SC 29203-6859 | 2016-09-23 |
| 1912453267 | Elizabeth Derks | Dietitian, Registered | 9 Richland Medical Park Dr Ste 110, Columbia, SC 29203-6859 | 2016-08-28 |
| 1437566718 | Cecilia Fernandes | Pediatrics | 9 Richland Medical Park Dr Ste 110, Columbia, SC 29203-6859 | 2014-07-17 |
| 1497188635 | Weston Lee Rice | Nurse Practitioner | 9 Richland Medical Park Dr Ste 110, Columbia, SC 29203-6859 | 2013-08-12 |
| 1164719894 | Margaret Alexander Gray | Pediatrics | 9 Richland Medical Park Dr Ste 110, Columbia, SC 29203-6859 | 2011-07-01 |
| 1376863654 | Alyssa S Cogdill | Nurse Practitioner | 9 Richland Medical Park Dr Ste 110, Columbia, SC 29203-6859 | 2010-06-09 |
| 1538485032 | Catherine Williford Sechrist | Pediatrics | 9 Richland Medical Park Dr Ste 110, Columbia, SC 29203-6859 | 2010-04-09 |
| 1376710970 | Mary Lee Gregory | Psychiatry & Neurology | 9 Richland Medical Park Dr Ste 110, Columbia, SC 29203 | 2008-05-13 |
| 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 | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255776704 | Nitin C Patel Md LLC | Psychiatry & Neurology | 1100 Club Village Dr Ste 102, Columbia, MO 65203-4411 | 2013-05-09 |
| 1376710970 | Mary Lee Gregory | Psychiatry & Neurology | 9 Richland Medical Park Dr Ste 110, Columbia, SC 29203 | 2008-05-13 |
| 1750327938 | Paul Richard Carney | Psychiatry & Neurology | 404 N Keene St Ste 101, Columbia, MO 65201-6626 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376938936 | Adrienne B Bruce | Psychiatry & Neurology | 110 Jervey Rd, Greenville, SC 29609-1342 | 2015-03-31 |
| 1710918230 | Spartanburg Regional Med Ctr | Psychiatry & Neurology | 853 N Church Street, Suite 640, Spartanburg, SC 29303-3040 | 2006-07-05 |
| 1174561864 | Augusto Morales | Psychiatry & Neurology | 200 Patewood Dr Ste A350, Greenville, SC 29615-3547 | 2006-06-03 |
| 1982642237 | Robert P Turner | Psychiatry & Neurology | 1941 Savage Rd, Suite 100-e, Charleston, SC 29407-4704 | 2006-06-02 |
| 1528683349 | Katherine Braun Horman | Psychiatry & Neurology | 169 Ashley Ave Rm 202, Charleston, SC 29425-8905 | 2020-06-09 |
| 1871912667 | Brain Restoration Clinic, Pllc | Psychiatry & Neurology | 1040 Edgewater Corp Pkwy, Suite 106, Indian Land, SC 29707-4514 | 2014-04-09 |
| 1356605844 | Sonal Bhatia | Psychiatry & Neurology | 171 Ashley Ave, Charleston, SC 29425 | 2012-06-28 |
| 1700143344 | Liliana Banari | Psychiatry & Neurology | 171 Ashley Ave, Charleston, SC 29425-0001 | 2012-04-20 |
| 1427357219 | Sunjay Ryan Nunley | Psychiatry & Neurology | 200 Patewood Dr Ste A350, Greenville, SC 29615-3547 | 2011-03-20 |
| 1861710527 | Michael Arthur Babcock | Psychiatry & Neurology | 200 Patewood Dr, Suite A350, Greenville, SC 29615-3593 | 2010-05-05 |
| 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.