PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP (NPI# 1952899627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952899627 |
| Entity Type | Organization |
| Organization Name | PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP |
| Practice Address |
3 Richland Medical Park Dr Ste 310 Columbia SC 29203-6862 |
| Mailing Address |
Po Box 743904 Atlanta GA 30374-3904 |
| Practice Telephone | 8034348323 |
| Practice Fax Number | 8034348326 |
| Mailing Telephone | 8032967320 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2018-04-27 |
| Authorized Official Name | WILLIAM D. ANDERSON III, (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 8035455005 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP7530 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Ph Pkwy, Suite 200, Columbia, SC 29212 | 8034348323 | 8034348326 |
| 9 Richland Medical Park Dr Ste 640, Columbia, SC 292036859 | 8034348323 | 8034348326 |
| 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 |
3 RICHLAND MEDICAL PARK DR STE 310 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-6862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760584981 | Coleman S Fravel | Physician Assistant | 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203 | 2006-09-01 |
| 1477194306 | Kelsey Fearing | Nurse Practitioner | 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6862 | 2019-10-02 |
| 1992362545 | Ivery Bonita Reed | Nurse Practitioner | 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6862 | 2019-05-20 |
| 1790349330 | Chandler Tyler | Physician Assistant | 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6862 | 2019-04-29 |
| 1770040776 | Tanisha Leann Dawkins | Nurse Practitioner | 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6862 | 2019-02-26 |
| 1013490911 | Tanyatta Lane King | Nurse Practitioner | 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6862 | 2018-09-07 |
| 1073095683 | Kimberly Sue Bregenzer | Neurological Surgery | 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6862 | 2018-08-30 |
| 1255836995 | Anita Dixon | Nurse Practitioner | 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6862 | 2018-03-26 |
| 1184140543 | Ansleigh Claire Morrow | Nurse Practitioner | 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203 | 2017-08-17 |
| 1376066159 | Samuel Edward Watts | Nurse Practitioner | 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6862 | 2017-07-24 |
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518319136 | Joseph Patrick Herbert | Neurological Surgery | One Hospital Drive, Dc048.00, Mc314 Mchaney Hall, Columbia, MO 65212 | 2016-07-07 |
| 1144571373 | O. Gerald Orth | Neurological Surgery | 2404 Beachview Dr, Columbia, MO 65203-1409 | 2012-09-27 |
| 1679754360 | Massimo S Fiandaca Md Pa | Neurological Surgery | 11055 Little Patuxent Pkwy # 209, Columbia, MD 21044 | 2007-11-21 |
| 1497712285 | Burke Hood Dial | Neurological Surgery | 3 Richland Medical Park Rd, Suite 310, Columbia, SC 29203 | 2006-04-27 |
| 1336144245 | Mark A Cobb | Neurological Surgery | 1222 Trotwood Ave, Suite 302, Columbia, TN 38401-6436 | 2005-06-16 |
| 1073095683 | Kimberly Sue Bregenzer | Neurological Surgery | 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6862 | 2018-08-30 |
| 1033657275 | Midlands Orthopaedics and Neurosurgery, Pa | Neurological Surgery | 114 Gateway Corporate Blvd, Suite 110, Columbia, SC 29203-9740 | 2017-02-08 |
| 1518349588 | Patrick Belton | Neurological Surgery | 1 Hospital Dr # Dc048.00, Mc314 Mchaney Hall, Columbia, MO 65212-1000 | 2015-06-25 |
| 1699193748 | Sarah Travers | Neurological Surgery | 1 Hospital Dr, Mc326 Mchaney Hall, Columbia, MO 65212-1000 | 2014-04-04 |
| 1073858825 | Palmetto Health | Neurological Surgery | 3 Richland Medical Park Dr, Suite 310, Columbia, SC 29203-6849 | 2012-12-05 |
| 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.