JACK LEGRAND DEPRIEST (NPI# 1881699957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881699957 |
| Entity Type | Individual |
| Full Name | JACK LEGRAND DEPRIEST |
| Credential | MD |
| Practice Address |
1 Richland Medical Park Dr Ste 300 Columbia SC 29203-6831 |
| Mailing Address |
Po Box 743904 Atlanta GA 30374-3904 |
| Practice Telephone | 8035455500 |
| Mailing Telephone | 8032967303 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2020-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
81661 | SC | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
MD065996L | PA | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 23454 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001699305 | 05 | |
| SC | 816610 | 05 |
| Street Address |
1 RICHLAND MEDICAL PARK DR STE 300 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-6831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710476882 | Palmetto Health - University of South Carolina Medical Group | Internal Medicine | 1 Richland Medical Park Dr Ste 300, Columbia, SC 29203-6831 | 2018-05-04 |
| 1083083117 | Calla Rose Chow | Registered Nurse | 1 Richland Medical Park Dr Ste 300, Columbia, SC 29203-6831 | 2015-09-18 |
| 1497165682 | Liang Zha | Internal Medicine | 1 Richland Medical Park Dr Ste 300, Columbia, SC 29203-6831 | 2014-04-28 |
| 1467898767 | Todd Gandy | Internal Medicine | 1 Richland Medical Park Dr Ste 300, Columbia, SC 29203-6831 | 2013-05-14 |
| 1104166438 | Ann Marie Bates | Nurse Practitioner | 1 Richland Medical Park Dr Ste 300, Columbia, SC 29203-6831 | 2013-02-23 |
| 1528346830 | Karla Jeannette Cruz Morel | Internal Medicine | 1 Richland Medical Park Dr Ste 300, Columbia, SC 29203-6831 | 2011-08-03 |
| 1528295029 | Nakita J Barnes | Nurse Practitioner | 1 Richland Medical Park Dr Ste 300, Columbia, SC 29203-6831 | 2009-06-11 |
| 1184886996 | Jake A. Krieg | Internal Medicine | 1 Richland Medical Park Dr Ste 300, Columbia, SC 29203-6831 | 2008-07-02 |
| 1316113004 | Subash Regmi | Internal Medicine | 1 Richland Medical Park Dr Ste 300, Columbia, SC 29203-6831 | 2008-05-02 |
| 1316168230 | David Scott Schrift | Emergency Medicine | 1 Richland Medical Park Dr Ste 300, Columbia, SC 29203-6831 | 2007-05-01 |
| 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 | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376994129 | Integra Clinical Services, LLC | Internal Medicine | 9055 Tamar Dr, Columbia, MD 21045-2756 | 2016-06-23 |
| 1245578426 | Mary Joy Drass | Internal Medicine | 5565 Sterrett Pl Fl 5, Columbia, MD 21044-2665 | 2013-01-23 |
| 1346258746 | Carlton Gregory Cauthen | Internal Medicine | 720 Rabon Rd, Columbia, SC 29203-8900 | 2006-08-03 |
| 1790143766 | Providence Physician Practices LLC | Internal Medicine | 1655 Bernardin Ave, Ste 350, Columbia, SC 29204-2039 | 2016-02-05 |
| 1760724223 | Aaron Charles Miller | Internal Medicine | 1020 Hitt St, Columbia, MO 65212 | 2013-03-22 |
| 1134482490 | Armin Krvavac | Internal Medicine | One Hospital Dr, Columbia, MO 65212-0001 | 2012-06-21 |
| 1306108790 | Zachary Michael Holliday | Internal Medicine | 1020 Hitt St, Columbia, MO 65212 | 2012-06-12 |
| 1790079085 | Justin Henry Atwood | Internal Medicine | 1 Richland Medical Park Dr, Ste 300, Columbia, SC 29203-6834 | 2011-06-03 |
| 1851603617 | Hariharan Regunath | Internal Medicine | 1020 Hitt St, Columbia, MO 65212-0001 | 2010-07-09 |
| 1073833489 | Providence Pulmonary Specialists, LLC | Internal Medicine | 1655 Bernardin Ave, Suite 350, Columbia, SC 29204-2039 | 2010-06-08 |
| 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.