PRISMA HEALTH MEDICAL GROUP-MIDLANDS (NPI# 1871080283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871080283 |
| Entity Type | Organization |
| Organization Name | PRISMA HEALTH MEDICAL GROUP-MIDLANDS |
| Other Organization Name | PH MEDICAL GROUP MIDLANDS |
| Practice Address |
115 N Sumter St Ste 400 Sumter SC 29150-4971 |
| Mailing Address |
Po Box 743904 Atlanta GA 30374-3904 |
| Practice Telephone | 8037749425 |
| Practice Fax Number | 8037749796 |
| Mailing Telephone | 8032967320 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2020-07-16 |
| Authorized Official Name | KRISTI LAWRENCE (DIRECTOR PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 8647976118 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP8575 | 05 |
| Other Name | Type Code |
|---|---|
| PH Medical Group Midlands | Other Name - Individual/Organization |
| PH USC Medical Group Sumter | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 N Sumter St Ste 200, Sumter, SC 291504975 | 8037747621 | 8037741791 |
| 100 N Sumter St Ste 320, Sumter, SC 291504975 | 8037746824 | 8037748977 |
| 115 N Sumter St Ste 200, Sumter, SC 291504968 | 8037748351 | 8037732635 |
| 115 N Sumter St Ste 300, Sumter, SC 291504967 | 8037751550 | 8037749641 |
| 129 N Washington St, Sumter, SC 291504949 | 8037741788 | 8037741502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518455252 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 100 N Sumter St Ste 200, Sumter, SC 29150-4975 | 2018-04-27 |
| 1992226534 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 101 Business Park Blvd Fl 2, Columbia, SC 29203-8401 | 2017-07-05 |
| 1538680004 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 300 Palmetto Health Pkwy Ste 200, Columbia, SC 29212-1762 | 2017-07-05 |
| 1255852901 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 100 Palmetto Health Pkwy Ste 320, Columbia, SC 29212-1756 | 2017-07-03 |
| 1285678078 | Prisma Health Medical Group-midlands | Pediatrics | 9 Richland Medical Park Dr Ste 410, Columbia, SC 29203-6859 | 2006-06-15 |
| 1417442864 | Prisma Health Medical Group-midlands | Dentist | 10 Richland Medical Park Dr Ste A, Columbia, SC 29203-6892 | 2018-06-28 |
| 1003307166 | Prisma Health Medical Group-midlands | Internal Medicine | 8 Richland Medical Park Dr Ste 300, Columbia, SC 29203-8008 | 2018-05-24 |
| 1447749510 | Prisma Health Medical Group-midlands | Family Medicine | 115 N Sumter St Ste 115, Sumter, SC 29150 | 2018-05-04 |
| 1295222503 | Prisma Health Medical Group-midlands | Oral & Maxillofacial Surgery | 3304 Forest Dr, Columbia, SC 29204-4024 | 2018-04-23 |
| 1457848848 | Prisma Health Medical Group-midlands | Pediatrics | 9 Richland Medical Park Dr Ste 210, Columbia, SC 29203-6859 | 2018-04-20 |
| Street Address |
115 N SUMTER ST STE 400 |
| City | SUMTER |
| State | SC |
| Zip Code | 29150-4971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427011089 | Roland I Saavedra | Emergency Medicine | 115 N Sumter St Ste 400, Sumter, SC 29150 | 2006-04-06 |
| 1417448465 | Robin H Munn | Nurse Practitioner | 115 N Sumter St Ste 400, Sumter, SC 29150 | 2018-05-25 |
| 1053838649 | Melanie Truesdale Jordan | Nurse Practitioner | 115 N Sumter St Ste 400, Sumter, SC 29150-4971 | 2017-08-24 |
| 1932599206 | Jordan Rhodes Sauls | Nurse Practitioner | 115 N Sumter St Ste 400, Sumter, SC 29150-4971 | 2015-01-26 |
| 1932376472 | Sudharani Bangalore Nanjaiah | Family Medicine | 115 N Sumter St Ste 400, Sumter, SC 29150 | 2008-05-14 |
| 1578654562 | Serena Smith | Family Medicine | 115 N Sumter St Ste 400, Sumter, SC 29150-4971 | 2006-09-27 |
| 1356307441 | Frederick C. Stone Jr. | Family Medicine | 115 N Sumter St Ste 400, Sumter, SC 29150-4971 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174152557 | Stacey Delene Mcconico | Adult Companion | 201 East Liberty Street, Sumter, SC 29150 | 2020-04-07 |
| 1780227942 | Add Light Home Care LLC | In Home Supportive Care | 698-s Bultman Dr, Suite C-8, Sumter, SC 29150 | 2019-10-21 |
| 1770044075 | Kimberly A Weeks | Technician, Other | 5 E Liberty Street, Sumter, SC 29150 | 2019-03-28 |
| 1689155103 | Chrishena E Craig | Social Worker | 801 N. Pike West, Sumter, SC 29150 | 2018-08-23 |
| 1093200735 | Michael B Coseo | Dietitian, Registered | 1278 N. Lafayette Drive, Sumter, SC 29150 | 2018-06-26 |
| 1790287258 | Keever Murdaugh | Physical Therapy Assistant | 1018 North Guignard Drive, Sumter, SC 29150 | 2018-03-01 |
| 1679094643 | James D Pearson | Emergency Medical Technician, Basic | 9b Willow Drive, Sumter, SC 29150 | 2017-06-29 |
| 1245771781 | Shanekia Littles | In Home Supportive Care | 251 Rast St Unit D-1, Sumter, SC 29150 | 2017-03-16 |
| 1326590415 | Believe In Faith Home Care | In Home Supportive Care | 410 W Liberty St Suite 102, Sumter, SC 29150 | 2016-10-25 |
| 1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
| Find all providers in zip 29150 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437774346 | George Effah Osei | Family Medicine | Tandem Health, 1278 North Lafayette Drive, Sumter, SC 29154 | 2020-06-16 |
| 1780742825 | Sandhills Medical Foundation Inc | Family Medicine | 425 N Salem Ave, Sumter, SC 29150-4115 | 2006-12-04 |
| 1295745941 | Jodi Lynne Belinski | Family Medicine | 115 North Sumter Street, Suite 315, Sumter, SC 29150-4967 | 2006-08-08 |
| 1205878410 | William T Culclasure | Family Medicine | 880 Carolina Avenue, Ltc Health Solutions@ Sumter East Health, Sumter, SC 29150-2815 | 2006-06-12 |
| 1710927322 | James Roper Ingram | Family Medicine | 738 W Liberty St Ste A, Sumter, SC 29150-4745 | 2006-06-08 |
| 1932195559 | Carrie Anne Judy | Family Medicine | 308 W Wesmark Blvd, Sumter, SC 29150-1977 | 2005-09-20 |
| 1801880190 | Christopher Mahr | Family Medicine | 698 Bultman Dr, Suite A, Sumter, SC 29150-2549 | 2005-09-01 |
| 1275525388 | Richard A Wall Jr. | Family Medicine | 1278 N Lafayette Dr, Sumter, SC 29150-2964 | 2005-08-16 |
| 1366448771 | John Russell Fleming Jr. | Family Medicine | 1229 Alice Dr, Sumter, SC 29150-1970 | 2005-06-22 |
| 1699771006 | Cynthia Skelton Reese | Family Medicine | 115 N Sumter St, Ste 315, Sumter, SC 29150-4967 | 2005-06-22 |
| Find all providers in SUMTER | ||||
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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.