PRISMA HEALTH-MIDLANDS (NPI# 1174604201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174604201 |
| Entity Type | Organization |
| Organization Name | PRISMA HEALTH-MIDLANDS |
| Other Organization Name | PRISMA HEALTH DIABETES EDUCATION |
| Practice Address |
1333 Taylor St Ste 4e Palmetto Health Columbia SC 29201-2923 |
| Mailing Address |
1333 Taylor St Suite 4e Palmetto Health Columbia SC 29201 |
| Practice Telephone | 8032962548 |
| Practice Fax Number | 8032963040 |
| Mailing Telephone | 8032962548 |
| Mailing Fax Number | 8032963040 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-04-14 |
| Authorized Official Name | POLLY H MILLER (VP PAYOR STRATEGIES ALIGNMENT) |
| Authorized Official Telephone | 8645222286 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRISMA HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | INHANCE MEDICAID GRP | DEP037 | 01 |
| Other Name | Type Code |
|---|---|
| Diabetic Education | Doing Business As Name - Organization |
| Prisma Health Diabetes Education | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134597214 | Prisma Health-midlands | Rehabilitation Unit | 3221 Sunset Blvd Suite B, Columbia, SC 29169-0000 | 2015-09-08 |
| 1902274095 | Prisma Health-midlands | Rehabilitation Unit | 111 Sparkleberry Crossing Rd Suite 5, Columbia, SC 29229 | 2015-09-08 |
| 1639590680 | Prisma Health-midlands | Emergency Medicine | 1200 Colonial Life Blvd W Fl 1, Columbia, SC 29210-7670 | 2013-12-18 |
| 1811237985 | Prisma Health-midlands | General Acute Care Hospital | 400 Palmettto Health Parkway, Columbia, SC 29212-1760 | 2013-02-26 |
| 1598099228 | Prisma Health-midlands | Counselor | 91 Polo Rd, Columbia, SC 29223-2805 | 2009-09-29 |
| 1740452739 | Prisma Health-midlands | Voluntary or Charitable | 1400 Camellia Ave, Newberry, SC 29108-3098 | 2008-03-31 |
| 1558576280 | Prisma Health-midlands | General Acute Care Hospital | 3301 Harden Street Medical Park, Columbia, SC 29203 | 2007-05-14 |
| 1487868097 | Prisma Health-midlands | General Acute Care Hospital | 3301 Harden Street, Columbia, SC 29203 | 2007-05-10 |
| 1063569259 | Prisma Health-midlands | Clinic/Center | Prisma Health Occupational Medicine, 1333 Taylor Streets Suite 3-h, Columbia, SC 29220-0001 | 2007-01-03 |
| 1942369624 | Prisma Health-midlands | Clinic/Center | Palmetto Health - Enhanced Medicaid, 3301 Harden St Ext 7mp, Columbia, SC 29203-9965 | 2006-12-08 |
| Street Address |
1333 TAYLOR ST STE 4E PALMETTO HEALTH |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29201-2923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205337045 | Prisma Health-midlands | Clinic/Center | 1333 Taylor St Ste 4e, Columbia, SC 29201-2949 | 2018-02-27 |
| 1861526691 | Sheron G Tyndall | Dietitian, Registered | 1333 Taylor St Ste 4e, Palmetto Health Baptist Diabetes Education, Columbia, SC 29201-2949 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049421 | Souzan Moslehshirazi | Behavior Technician | 1320 Main Street Suite 300, Colombia, SC 29201 | 2020-10-02 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1548887128 | Casania's Caring Hands,llc | Home Health Aide | 1113 Belleview Street, 105, Columbia, SC 29201 | 2020-06-30 |
| 1639719909 | Benjamin Clark Watson | Acupuncturist | 1825 Sumter St., Columbia, SC 29201 | 2020-01-14 |
| 1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
| 1447803531 | Gillian Taylor Shaughnessy | Specialist/Technologist | 147 South Marion St, Columbia, SC 29201 | 2019-07-18 |
| 1417417619 | Maria Nelson | Behavior Technician | 320 Main St Suite 300, Columbia, SC 29201 | 2019-03-22 |
| 1679041297 | Nathaniel Carl Stocker | Nurse Practitioner | 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 | 2018-11-13 |
| 1558852855 | The Practice | Family Medicine | 1910 Gregg Street, Columbia, SC 29201 | 2018-05-22 |
| 1871095836 | Kadesjah Samuels | Behavior Technician | 1320 Main Street, Suite 300, Columbia, SC 29201 | 2018-03-06 |
| Find all providers in zip 29201 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598200099 | Healthworks Med Group of South Carolina PC | Clinic/Center | 1200 Colonial Life Blvd W, Columbia, SC 29210-7670 | 2016-12-20 |
| 1902048333 | Hopefull Wishing Inc. | Clinic/Center | 132 Monteith St, Columbia, SC 29203-2714 | 2009-03-31 |
| 1801970793 | Curators of The University of Missouri | Clinic/Center | 1000 W Nifong Blvd Ste 2-200, Columbia, MO 65203-5661 | 2006-10-25 |
| 1053492280 | Prisma Health-midlands | Clinic/Center | 9 Medical Park Suite 305, Palmetto Health Richland Diabetes Education, Columbia, SC 29203-6863 | 2006-10-17 |
| 1104914464 | Way Station Inc | Clinic/Center | 9030 State Route 108, Columbia, MD 21045-1951 | 2006-10-11 |
| 1184675316 | South Carolina Dept of Mental Health Accounting Office | Clinic/Center | 8301 Farrow Rd, Columbia, SC 29203-3245 | 2006-05-12 |
| 1811594294 | Lexington Health Inc | Clinic/Center | 7035 Saint Andrews Rd, Columbia, SC 29212-1177 | 2020-10-08 |
| 1003455627 | Ethos Health Maryland 3 LLC | Clinic/Center | 10840 Little Patuxent Pkwy, Columbia, MD 21044-3115 | 2019-12-30 |
| 1912554353 | T&s Wellness LLC | Clinic/Center | 201 Columbia Mall Blvd Ste 189, Columbia, SC 29223-7550 | 2019-08-21 |
| 1477021541 | Aids Healthcare Foundation | Clinic/Center | 3025 Farrow Rd, Columbia, SC 29203-7001 | 2018-11-07 |
| 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.