AUGUSTINE HEALTH GROUP LLC (NPI# 1821051392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821051392 |
| Entity Type | Organization |
| Organization Name | AUGUSTINE HEALTH GROUP LLC |
| Other Organization Name | PROVIDENCE WOMENS HEALTH |
| Practice Address |
114 Gateway Corp Blvd Suite 350 Augustine Health Group LLC Columbia SC 29203-9802 |
| Mailing Address |
114 Gateway Corp Blvd Suite 425 Columbia SC 29203-9802 |
| Practice Telephone | 8038654780 |
| Practice Fax Number | 8038654932 |
| Mailing Telephone | 8038654780 |
| Mailing Fax Number | 8038654932 |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MRS. LISA B HAM (MGR GENERAL ACCOUNTING) |
| Authorized Official Telephone | 8038654583 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 25087 | SC | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | 21388 | SC | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Providence Womens Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154749075 | Augustine Health Group LLC | Anesthesiology | 2435 Forest Dr, Columbia, SC 29204-2026 | 2014-03-29 |
| 1508036203 | Augustine Health Group LLC | Physical Medicine & Rehabilitation | 114 Gateway Corporate Blvd, Suite 440, Columbia, SC 29203 | 2008-03-10 |
| Street Address |
114 GATEWAY CORP BLVD SUITE 350 AUGUSTINE HEALTH GROUP LLC |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-9802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073505863 | Drs Hutchinson & Hanna P A | Obstetrics & Gynecology | 114 Gateway Corp Blvd, Ste 130, Columbia, SC 29203-9740 | 2005-08-17 |
| 1811274897 | United Physicians of South Carolina | Family Medicine | 114 Gateway Corp Blvd, Ste 320, Columbia, SC 29203-9740 | 2011-11-04 |
| 1083802490 | Nusrat Ul Shafi | Family Medicine | 114 Gateway Corp Blvd, Suite 350, Columbia, SC 29203-9740 | 2007-10-10 |
| 1174515647 | John H. Hanna | Obstetrics & Gynecology | 114 Gateway Corp Blvd, Ste 130, Columbia, SC 29203-9740 | 2005-08-19 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988036 | Lexington Health Inc | Obstetrics & Gynecology | 700 Gervais St Ste 300, Columbia, SC 29201-3061 | 2020-10-08 |
| 1700403334 | Sarah Mai Truong | Obstetrics & Gynecology | 402 N Keene St # Dc570.00, Columbia, MO 65201-6986 | 2020-06-30 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1962049593 | Michael Wayne Mccullough | Obstetrics & Gynecology | 500 N Keene St Ste 400, Columbia, MO 65201-8104 | 2019-12-02 |
| 1144881509 | Stephanie Barata | Obstetrics & Gynecology | 402 N Keene St Ste 402, Columbia, MO 65201-6986 | 2019-06-26 |
| 1407411895 | Silki Pankajkumar Modi | Obstetrics & Gynecology | The Women's Center, 1801 Sunseet Drive, Columbia, SC 29203 | 2019-05-01 |
| 1780105080 | Jennifer Irene Higdon | Obstetrics & Gynecology | Women's Center, 1801 Sunset Drive, Columbia, SC 29203 | 2017-06-28 |
| 1184157984 | Robert Mcdavid | Obstetrics & Gynecology | 3609 Arbor Ct, Columbia, MO 65201-6542 | 2017-04-07 |
| 1831548254 | Darrah Berck | Obstetrics & Gynecology | 1601 E Broadway Ste 300, Columbia, MO 65201-8022 | 2016-06-07 |
| 1285013276 | Whitney Lynn Shepard | Obstetrics & Gynecology | 1228 Harden St Ste B, Columbia, SC 29204-1800 | 2015-05-22 |
| 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.